MARK MACUMBER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

ACTIVE

Business

First Name

MARK

Last Name

MACUMBER

Suffix

Business Name

MARK MACUMBER MD

Original Issue Date

06/25/2003

Effective Date

07/15/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60601

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/15/2023