THOMAS GEORGE HABIB MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

GEORGE

Last Name

HABIB

Suffix

Business Name

THOMAS GEORGE HABIB MD

Original Issue Date

07/05/2007

Effective Date

08/04/2008

Expiration Date

07/31/2011

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011