GENOVEVA P DAVIDKOVA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045106

License Status

CANCELLED

Business

First Name

GENOVEVA

Middle

Last Name

DAVIDKOVA

Suffix

Business Name

GENOVEVA P DAVIDKOVA MD

Original Issue Date

06/18/2002

Effective Date

06/18/2002

Expiration Date

06/30/2005

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006