JOANN DAVIS Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125014697

License Status

EXPIRED

Business

First Name

JOANN

Last Name

DAVIS

Business Name

JOANN DAVIS

Original Issue Date

06/30/1982

Effective Date

06/30/1982

Expiration Date

07/01/1984

City

PEORIA

State

Zip

61656

County

PEORIA

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006