MARK DANIEL MCCUBBIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130742

License Status

NOT RENEWED

Business

Title

First Name

MARK

Middle

DANIEL

Last Name

MCCUBBIN

Business Name

MARK DANIEL MCCUBBIN MD

Original Issue Date

07/05/2012

Effective Date

07/05/2012

Expiration Date

07/31/2014

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014