GARY ROBERT MACVICAR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114093

License Status

ACTIVE

Business

First Name

GARY

Middle

ROBERT

Last Name

MACVICAR

Suffix

Business Name

GARY ROBERT MACVICAR MD

Original Issue Date

06/30/2005

Effective Date

06/03/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61615

Ever Disciplined

LastModifiedDate

06/03/2023