MARK MACUMBER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

NOT RENEWED

Business

First Name

MARK

Last Name

MACUMBER

Suffix

Business Name

MARK MACUMBER MD

Original Issue Date

05/22/2000

Effective Date

05/22/2000

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60625

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020