MARCELINA GUTIERREZ IBANEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

License Status

NOT RENEWED

Business

First Name

MARCELINA

Middle

GUTIERREZ

Last Name

IBANEZ

Suffix

Business Name

MARCELINA GUTIERREZ IBANEZ MD

Original Issue Date

12/18/1997

Effective Date

12/18/1997

Expiration Date

07/31/1999

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006