LARRY MICHAEL DAVIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

NOT RENEWED

Business

Title

First Name

LARRY

Middle

MICHAEL

Last Name

DAVIS

Business Name

LARRY MICHAEL DAVIS MD

Original Issue Date

07/05/2001

Effective Date

07/11/2017

Expiration Date

09/30/2020

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021