ROSEMARY VITTONE SHIBEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

NOT RENEWED

Business

First Name

ROSEMARY

Middle

VITTONE

Last Name

SHIBEN

Suffix

Business Name

ROSEMARY VITTONE SHIBEN MD

Original Issue Date

10/30/2002

Effective Date

10/30/2002

Expiration Date

07/31/2008

City

METROPOLIS

State

Zip

62960

County

MASSAC

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008