SANDY Y GIBSON DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

ACTIVE

Business

First Name

SANDY Y

Last Name

GIBSON

Suffix

Business Name

SANDY Y GIBSON DO

Original Issue Date

08/05/1993

Effective Date

06/17/2023

Expiration Date

07/31/2026

City

HARVERY

State

Zip

60426

County

COOK

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

06/17/2023