THOMAS B KIBBY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****39

License Status

NOT RENEWED

Business

First Name

THOMAS B

Last Name

KIBBY

Suffix

Business Name

THOMAS B KIBBY MD

Original Issue Date

03/02/2007

Effective Date

03/02/2007

Expiration Date

07/31/2008

City

GRANITE CITY

State

Zip

62040

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020