TODD THOMAS DAVIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

NOT RENEWED

Business

First Name

TODD

Middle

THOMAS

Last Name

DAVIS

Suffix

Business Name

TODD THOMAS DAVIS MD

Original Issue Date

10/21/2003

Effective Date

10/21/2003

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60707

County

COOK

Controlled Substance Schedule

III

Ever Disciplined

LastModifiedDate

04/05/2020