MAXWELL B DAVIS - Medical Doctor License in Illinois | # 036113273

MAXWELL B DAVIS

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113273

License Status

NOT RENEWED

Business

N

First Name

MAXWELL

Middle

B

Last Name

DAVIS

Business Name

MAXWELL B DAVIS

Original Issue Date

03/17/2005

Effective Date

04/17/2008

Expiration Date

07/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

11/14/2011