MAXWELL B DAVIS Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113273

License Status

NOT RENEWED

Business

First Name

MAXWELL

Middle

Last Name

DAVIS

Business Name

MAXWELL B DAVIS

Original Issue Date

03/17/2005

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

WESTCHESTER

State

Zip

60154

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011