HENRY GORDON DAVIS III Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

NOT RENEWED

Business

First Name

HENRY GORDON

Last Name

DAVIS III

Business Name

HENRY GORDON DAVIS III

Original Issue Date

01/01/1997

Effective Date

05/01/2017

Expiration Date

09/30/2020

City

BARRINGTON

State

Zip

60010

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021