DAVID D GUMMIN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

CANCELLED

Business

First Name

DAVID D

Last Name

GUMMIN

Suffix

Business Name

DAVID D GUMMIN MD

Original Issue Date

09/09/1996

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

SKOKIE

State

Zip

60077

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/09/2011