MALCOLM MCAVOY DECAMP JR 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

Title

First Name

MALCOLM

Middle

MCAVOY

Last Name

DECAMP

Suffix

Business Name

MALCOLM MCAVOY DECAMP JR MD

Original Issue Date

12/31/2009

Effective Date

04/29/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61104

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/29/2023