CONNIE F GIBSTINE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

NOT RENEWED

Business

First Name

CONNIE F

Last Name

GIBSTINE

Suffix

Business Name

CONNIE F GIBSTINE MD

Original Issue Date

08/23/1982

Effective Date

08/23/1982

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006