KIMBERLY LEONA JOHNSON DAVIS Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051280

License Status

EXPIRED

Business

First Name

KIMBERLY

Middle

LEONA

Last Name

JOHNSON DAVIS

Business Name

KIMBERLY LEONA JOHNSON DAVIS

Original Issue Date

07/01/2006

Effective Date

07/01/2006

Expiration Date

06/30/2009

City

CHICAGO

State

Zip

60628

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/15/2009