JOANN DAVIS Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036068591

License Status

NOT RENEWED

Business

First Name

JOANN

Last Name

DAVIS

Business Name

JOANN DAVIS

Original Issue Date

04/25/1984

Effective Date

04/25/1984

Expiration Date

07/31/1996

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/20/2006