JAIME MICHELLE LIBES-BANDER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

NOT RENEWED

Business

Title

First Name

JAIME

Middle

MICHELLE

Last Name

LIBES-BANDER

Business Name

JAIME MICHELLE LIBES-BANDER MD

Original Issue Date

11/18/2014

Effective Date

07/09/2020

Expiration Date

07/31/2023

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023