GARY ROBERT MACVICAR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

ACTIVE

Business

First Name

GARY

Middle

ROBERT

Last Name

MACVICAR

Suffix

Business Name

GARY ROBERT MACVICAR MD

Original Issue Date

08/14/2015

Effective Date

06/03/2023

Expiration Date

07/31/2026

City

OTTAWA

State

Zip

61350

County

LA SALLE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/03/2023