BENJAMIN JESSE DAVIS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052645

License Status

EXPIRED

Business

Title

First Name

BENJAMIN

Middle

JESSE

Last Name

DAVIS

Business Name

BENJAMIN JESSE DAVIS MD

Original Issue Date

06/18/2010

Effective Date

06/18/2010

Expiration Date

06/17/2012

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

08/29/2012