CARMEN LABATETE TIBAYAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

NOT RENEWED

Business

First Name

CARMEN LABATETE

Last Name

TIBAYAN

Suffix

Business Name

CARMEN LABATETE TIBAYAN MD

Original Issue Date

01/01/1997

Effective Date

06/18/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60646

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017