CAROLINA D DAVIDE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033723

License Status

EXPIRED

Business

First Name

CAROLINA

Middle

Last Name

DAVIDE

Suffix

Business Name

CAROLINA D DAVIDE MD

Original Issue Date

07/01/1995

Effective Date

07/01/1995

Expiration Date

06/30/1998

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006