GERARDO S BRIBIESCA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

NOT RENEWED

Business

First Name

GERARDO S

Last Name

BRIBIESCA

Suffix

Business Name

GERARDO S BRIBIESCA MD

Original Issue Date

12/09/1982

Effective Date

12/09/1982

Expiration Date

07/31/1984

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006