CONRAD HOLMES GUMBART MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036053120

License Status

NOT RENEWED

Business

First Name

CONRAD HOLMES

Last Name

GUMBART

Suffix

Business Name

CONRAD HOLMES GUMBART MD

Original Issue Date

06/15/1976

Effective Date

06/15/1976

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

09/20/2006