REX EDGAR KUMMER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

NOT RENEWED

Business

First Name

REX EDGAR

Last Name

KUMMER

Suffix

Business Name

REX EDGAR KUMMER MD

Original Issue Date

01/01/1997

Effective Date

04/18/2011

Expiration Date

07/31/2014

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020