LAURA JEAN DAVIDSON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059112

License Status

CANCELLED

Business

Title

First Name

LAURA

Middle

JEAN

Last Name

DAVIDSON

Business Name

LAURA JEAN DAVIDSON MD

Original Issue Date

06/23/2011

Effective Date

06/23/2011

Expiration Date

06/22/2014

City

CHICAGO

State

Zip

60611

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/20/2011