IAN ROBERT MACUMBER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056527

License Status

EXPIRED

Business

Title

First Name

IAN

Middle

ROBERT

Last Name

MACUMBER

Business Name

IAN ROBERT MACUMBER MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

08/29/2012