EDWARD D DAVILA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021821

License Status

EXPIRED

Business

First Name

EDWARD D

Last Name

DAVILA

Suffix

Business Name

EDWARD D DAVILA MD

Original Issue Date

11/04/1988

Effective Date

11/04/1988

Expiration Date

11/04/1991

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006