ROBERT M BUMSTED MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

NOT RENEWED

Business

First Name

ROBERT M

Last Name

BUMSTED

Suffix

Business Name

ROBERT M BUMSTED MD

Original Issue Date

08/06/1996

Effective Date

06/24/2011

Expiration Date

07/31/2014

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020