KATHLEEN KAY GIBBONS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

NOT RENEWED

Business

First Name

KATHLEEN KAY

Last Name

GIBBONS

Suffix

Business Name

KATHLEEN KAY GIBBONS MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1987

City

DIXON

State

Zip

61021

County

LEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006