TODD W DAVIS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033599

License Status

EXPIRED

Business

Title

First Name

TODD

Middle

Last Name

DAVIS

Business Name

TODD W DAVIS MD

Original Issue Date

06/27/1995

Effective Date

06/27/1995

Expiration Date

07/18/2000

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006