MORTON MALCOM MACHIR MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073742

License Status

CANCELLED

Business

Title

First Name

MORTON

Middle

MALCOM

Last Name

MACHIR

Business Name

MORTON MALCOM MACHIR MD

Original Issue Date

06/26/2019

Effective Date

06/26/2019

Expiration Date

06/25/2022

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/03/2019