MARISSA CAMILLE LYDIA DAVIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036176674

License Status

ACTIVE

Business

Title

First Name

MARISSA

Middle

CAMILLE LYDIA

Last Name

DAVIS

Business Name

MARISSA CAMILLE LYDIA DAVIS MD

Original Issue Date

08/19/2025

Effective Date

08/19/2025

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

08/19/2025