MARCELLA M TASHJIAN-GIBBS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

NOT RENEWED

Business

First Name

MARCELLA

Middle

Last Name

TASHJIAN-GIBBS

Suffix

Business Name

MARCELLA M TASHJIAN-GIBBS MD

Original Issue Date

12/30/2010

Effective Date

04/08/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60660

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014