JEFFREY DORLAND DAVIS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064535

License Status

EXPIRED

Business

Title

First Name

JEFFREY

Middle

DORLAND

Last Name

DAVIS

Business Name

JEFFREY DORLAND DAVIS MD

Original Issue Date

06/22/2014

Effective Date

06/22/2014

Expiration Date

06/21/2015

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/04/2015