GRAHAM W DAVIS DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001151

License Status

EXPIRED

Business

Title

First Name

GRAHAM

Middle

Last Name

DAVIS

Business Name

GRAHAM W DAVIS DO

Original Issue Date

03/01/2017

Effective Date

03/01/2017

Expiration Date

08/31/2017

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

11/01/2017