LARRY MICHAEL DAVIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104343

License Status

NOT RENEWED

Business

Title

First Name

LARRY

Middle

MICHAEL

Last Name

DAVIS

Business Name

LARRY MICHAEL DAVIS MD

Original Issue Date

03/14/2001

Effective Date

07/11/2017

Expiration Date

09/30/2020

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

01/14/2021