GARY JACK DAVIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036051848

License Status

NOT RENEWED

Business

Title

First Name

GARY

Middle

JACK

Last Name

DAVIS

Business Name

GARY JACK DAVIS MD

Original Issue Date

09/12/1975

Effective Date

04/24/2017

Expiration Date

09/30/2020

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021