JONATHAN THOMAS GIBSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

NOT RENEWED

Business

Title

First Name

JONATHAN

Middle

THOMAS

Last Name

GIBSON

Business Name

JONATHAN THOMAS GIBSON MD

Original Issue Date

08/17/2016

Effective Date

08/17/2016

Expiration Date

07/31/2017

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020