MARK DANIEL MCCUBBIN MD - Medical Doctor License in Illinois | # 036130742

MARK DANIEL MCCUBBIN MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130742

License Status

NOT RENEWED

Business

N

Title

MD

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

State

IL

Ever Disciplined

N

LastModifiedDate

11/17/2014