ANDREW G DAVIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036080122

License Status

NOT RENEWED

Business

First Name

ANDREW G

Last Name

DAVIS

Suffix

Business Name

ANDREW G DAVIS MD

Original Issue Date

06/23/1990

Effective Date

06/23/1990

Expiration Date

07/31/1996

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

02/23/2012