SAMUEL ZACHARY DAVILA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000238

License Status

EXPIRED

Business

First Name

SAMUEL

Middle

ZACHARY

Last Name

DAVILA

Suffix

Business Name

SAMUEL ZACHARY DAVILA MD

Original Issue Date

02/17/2008

Effective Date

02/17/2008

Expiration Date

08/16/2008

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/05/2008