RICHARD PERRY DAVIS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054799

License Status

CANCELLED

Business

Title

First Name

RICHARD

Middle

PERRY

Last Name

DAVIS

Business Name

RICHARD PERRY DAVIS MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2011

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

03/12/2009