DANIEL ROBERT DAVIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036133470

License Status

NOT RENEWED

Business

Title

First Name

DANIEL

Middle

ROBERT

Last Name

DAVIS

Business Name

DANIEL ROBERT DAVIS MD

Original Issue Date

07/03/2013

Effective Date

07/03/2013

Expiration Date

07/31/2014

City

BERWYN

State

Zip

60402

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014