JON M CUMBERLEDGE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

NOT RENEWED

Business

First Name

JON M

Last Name

CUMBERLEDGE

Suffix

Business Name

JON M CUMBERLEDGE MD

Original Issue Date

11/30/1994

Effective Date

06/14/2017

Expiration Date

09/30/2020

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021