SIMI DAVU MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050500

License Status

EXPIRED

Business

First Name

SIMI

Last Name

DAVU

Suffix

Business Name

SIMI DAVU MD

Original Issue Date

08/24/2005

Effective Date

08/24/2005

Expiration Date

08/23/2007

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

08/29/2007