MICHAEL A DAVIS Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029609

License Status

EXPIRED

Business

First Name

MICHAEL

Middle

Last Name

DAVIS

Business Name

MICHAEL A DAVIS

Original Issue Date

05/13/1993

Effective Date

05/13/1993

Expiration Date

06/30/1996

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006