JEFFREY MICHAEL DAVIS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049392

License Status

EXPIRED

Business

First Name

JEFFREY

Middle

MICHAEL

Last Name

DAVIS

Suffix

Business Name

JEFFREY MICHAEL DAVIS MD

Original Issue Date

06/23/2005

Effective Date

06/23/2005

Expiration Date

06/22/2006

City

CHICAGO

State

Zip

60631

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006