SUSAN DAVIES Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025234

License Status

EXPIRED

Business

First Name

SUSAN

Last Name

DAVIES

Business Name

SUSAN DAVIES

Original Issue Date

05/29/1990

Effective Date

05/29/1990

Expiration Date

06/24/1993

City

PEORIA

State

Zip

60612

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006