REBECCA JOY CHIBNALL 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

REBECCA

Middle

JOY

Last Name

CHIBNALL

Business Name

REBECCA JOY CHIBNALL MD

Original Issue Date

10/30/2019

Effective Date

10/30/2019

Expiration Date

09/30/2020

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021