GARY ROBERT MACVICAR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

ACTIVE

Business

First Name

GARY

Middle

ROBERT

Last Name

MACVICAR

Suffix

Business Name

GARY ROBERT MACVICAR MD

Original Issue Date

07/06/2005

Effective Date

06/03/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61615

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/03/2023