KIMBERLY ANNE DAVIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036097831

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

ANNE

Last Name

DAVIS

Suffix

Business Name

KIMBERLY ANNE DAVIS MD

Original Issue Date

05/15/1998

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008