EDGARD A CUMPA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125040478

License Status

EXPIRED

Business

First Name

EDGARD

Middle

Last Name

CUMPA

Business Name

EDGARD A CUMPA

Original Issue Date

08/18/1999

Effective Date

08/18/1999

Expiration Date

08/18/2002

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006