NICOLE MARIE DAVIS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050538

License Status

EXPIRED

Business

First Name

NICOLE

Middle

MARIE

Last Name

DAVIS

Suffix

Business Name

NICOLE MARIE DAVIS MD

Original Issue Date

10/21/2005

Effective Date

10/21/2005

Expiration Date

10/19/2006

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

11/03/2006