MAXWELL B DAVIS Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

NOT RENEWED

Business

First Name

MAXWELL

Middle

Last Name

DAVIS

Business Name

MAXWELL B DAVIS

Original Issue Date

04/07/2005

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

AURORA

State

Zip

60504

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011