JEFFREY S GIBBS Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

NOT RENEWED

Business

First Name

JEFFREY S

Last Name

GIBBS

Business Name

JEFFREY S GIBBS

Original Issue Date

06/21/1995

Effective Date

06/21/1995

Expiration Date

07/31/2005

City

CARBONDALE

State

Zip

62901

County

JACKSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017