GREGORY SCOTT DIBELIUS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

NOT RENEWED

Business

Title

First Name

GREGORY

Middle

SCOTT

Last Name

DIBELIUS

Business Name

GREGORY SCOTT DIBELIUS MD

Original Issue Date

03/28/2016

Effective Date

03/28/2016

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017