SARKIS GIBRAN MORALES VIDAL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

ACTIVE

Business

First Name

SARKIS

Middle

GIBRAN

Last Name

MORALES VIDAL

Suffix

Business Name

SARKIS GIBRAN MORALES VIDAL MD

Original Issue Date

07/23/2009

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

RIVERSIDE

State

Zip

60546

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023