DANIEL THOMAS DAVISON DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059839

License Status

ACTIVE

Business

First Name

DANIEL

Middle

THOMAS

Last Name

DAVISON

Suffix

Business Name

DANIEL THOMAS DAVISON DO

Original Issue Date

12/18/1979

Effective Date

07/14/2023

Expiration Date

07/31/2026

City

INDIAN HEAD PARK

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

07/14/2023