MATHEW W MACCUMBER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

NOT RENEWED

Business

First Name

MATHEW W

Last Name

MACCUMBER

Suffix

Business Name

MATHEW W MACCUMBER MD

Original Issue Date

08/07/1996

Effective Date

08/07/1996

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020