MARK DANIEL MCCUBBIN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057074

License Status

CANCELLED

Business

Title

First Name

MARK

Middle

DANIEL

Last Name

MCCUBBIN

Business Name

MARK DANIEL MCCUBBIN MD

Original Issue Date

06/22/2009

Effective Date

06/22/2009

Expiration Date

06/21/2012

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/02/2009