JEFFREY S DAVIN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125015478

License Status

EXPIRED

Business

First Name

JEFFREY

Middle

Last Name

DAVIN

Business Name

JEFFREY S DAVIN

Original Issue Date

06/15/1983

Effective Date

06/15/1983

Expiration Date

07/01/1985

City

SPRINGFIELD

State

Zip

62708

County

SANGAMON

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006