PHILIP D MUMM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036126321

License Status

NOT RENEWED

Business

Title

First Name

PHILIP

Middle

Last Name

MUMM

Business Name

PHILIP D MUMM MD

Original Issue Date

07/23/2010

Effective Date

07/23/2010

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2012