EVAN CHARLES CUMPSTON MD - Medical Doctor License in Illinois | # 125068343

EVAN CHARLES CUMPSTON MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068343

License Status

EXPIRED

Business

N

Title

MD

First Name

EVAN

Middle

CHARLES

Last Name

CUMPSTON

Business Name

EVAN CHARLES CUMPSTON MD

Original Issue Date

06/23/2016

Effective Date

06/23/2016

Expiration Date

06/22/2017

State

IL

Specialty/Qualifier

General Surgery

Ever Disciplined

N

LastModifiedDate

09/19/2017