WANDA F DAVIS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125022915

License Status

EXPIRED

Business

First Name

WANDA F

Last Name

DAVIS

Suffix

Business Name

WANDA F DAVIS MD

Original Issue Date

06/28/1988

Effective Date

06/28/1988

Expiration Date

07/01/1991

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006