SIDNEY W GIBBONS Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****97

License Status

INACTIVE

Business

First Name

SIDNEY W

Last Name

GIBBONS

Business Name

SIDNEY W GIBBONS

Original Issue Date

01/01/1998

Expiration Date

09/01/1982

City

ELMHURST

State

Zip

60126

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006