CARLOS S SHIBATA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

NOT RENEWED

Business

First Name

CARLOS S

Last Name

SHIBATA

Suffix

Business Name

CARLOS S SHIBATA MD

Original Issue Date

07/10/2000

Effective Date

04/11/2017

Expiration Date

09/30/2020

City

BARRINGTON

State

Zip

60010

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021