CHRISTEN AUGUSTUS TIBBS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

ACTIVE

Business

Title

First Name

CHRISTEN

Middle

AUGUSTUS

Last Name

TIBBS

Business Name

CHRISTEN AUGUSTUS TIBBS MD

Original Issue Date

07/08/2011

Effective Date

06/09/2023

Expiration Date

07/31/2026

City

HAZEL CREST

State

Zip

60429

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/09/2023