CHRISTOPHER MARTIN GIBBS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

NOT RENEWED

Business

First Name

CHRISTOPHER

Middle

MARTIN

Last Name

GIBBS

Suffix

Business Name

CHRISTOPHER MARTIN GIBBS MD

Original Issue Date

02/27/2007

Effective Date

05/30/2017

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021