MICHAEL JOSEPH DAVIDOVICH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

JOSEPH

Last Name

DAVIDOVICH

Suffix

Business Name

MICHAEL JOSEPH DAVIDOVICH MD

Original Issue Date

07/05/2000

Effective Date

07/05/2000

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60608

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020