REY D. L. GUMBOC MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036148424

License Status

NOT RENEWED

Business

Title

First Name

REY

Middle

D. L.

Last Name

GUMBOC

Business Name

REY D. L. GUMBOC MD

Original Issue Date

03/04/2019

Effective Date

03/04/2019

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61103

County

ADAMS

Ever Disciplined

LastModifiedDate

01/14/2021