GLEN ANTHONY DAVIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036148732

License Status

ACTIVE

Business

Title

First Name

GLEN

Middle

ANTHONY

Last Name

DAVIS

Business Name

GLEN ANTHONY DAVIS MD

Original Issue Date

03/23/2019

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

04/13/2023