TIMOTHY EDWARD SHIBEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

NOT RENEWED

Business

First Name

TIMOTHY

Middle

EDWARD

Last Name

SHIBEN

Suffix

Business Name

TIMOTHY EDWARD SHIBEN MD

Original Issue Date

09/01/2000

Effective Date

05/16/2008

Expiration Date

07/31/2011

City

METROPOLIS

State

Zip

62960

County

MASSAC

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020