WILLIAM GIBSON BARTHOLOME MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

NOT RENEWED

Business

First Name

WILLIAM GIBSON

Last Name

BARTHOLOME

Suffix

Business Name

WILLIAM GIBSON BARTHOLOME MD

Original Issue Date

10/24/1983

Effective Date

10/24/1983

Expiration Date

07/31/1987

City

PARK RIDGE

State

Zip

60068

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006