WILLIAM CORBLY GUMP MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

NOT RENEWED

Business

First Name

WILLIAM

Middle

CORBLY

Last Name

GUMP

Suffix

Business Name

WILLIAM CORBLY GUMP MD

Original Issue Date

04/09/2009

Effective Date

04/09/2009

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017