DANIELLE RENAE DAVIS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049525

License Status

EXPIRED

Business

First Name

DANIELLE

Middle

RENAE

Last Name

DAVIS

Suffix

Business Name

DANIELLE RENAE DAVIS MD

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2008

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

07/31/2008