VERA R DAVIS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021444

License Status

EXPIRED

Business

First Name

VERA R

Last Name

DAVIS

Suffix

Business Name

VERA R DAVIS MD

Original Issue Date

06/26/1987

Effective Date

06/26/1987

Expiration Date

07/27/1990

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006