WILLARD J DAVIS DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112903

License Status

NOT RENEWED

Business

First Name

WILLARD

Middle

Last Name

DAVIS

Suffix

Business Name

WILLARD J DAVIS DO

Original Issue Date

01/14/2005

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008