JAMES CONRAD GIEBINK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

NOT RENEWED

Business

Title

First Name

JAMES

Middle

CONRAD

Last Name

GIEBINK

Business Name

JAMES CONRAD GIEBINK MD

Original Issue Date

07/20/2021

Effective Date

07/20/2021

Expiration Date

07/31/2023

City

MOKENA

State

Zip

60448

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023