JAMES WILDER CUMMINS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

NOT RENEWED

Business

First Name

JAMES

Middle

WILDER

Last Name

CUMMINS

Suffix

Business Name

JAMES WILDER CUMMINS MD

Original Issue Date

01/13/2011

Effective Date

01/13/2011

Expiration Date

07/31/2011

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011