CARLEY M DAVIS Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044005

License Status

EXPIRED

Business

First Name

CARLEY

Middle

Last Name

DAVIS

Business Name

CARLEY M DAVIS

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2008

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Urology

Ever Disciplined

LastModifiedDate

07/31/2008