EVAN CHARLES CUMPSTON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068343

License Status

EXPIRED

Business

Title

First Name

EVAN

Middle

CHARLES

Last Name

CUMPSTON

Business Name

EVAN CHARLES CUMPSTON MD

Original Issue Date

06/23/2016

Effective Date

06/23/2016

Expiration Date

06/22/2017

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/19/2017