DANIEL ROBERT DAVIS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057660

License Status

EXPIRED

Business

Title

First Name

DANIEL

Middle

ROBERT

Last Name

DAVIS

Business Name

DANIEL ROBERT DAVIS MD

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2013

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Physical Medicine & Rehabilitation

Ever Disciplined

LastModifiedDate

10/07/2013