DEMETRICE SHARNAE DAVIS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

CANCELLED

Business

First Name

DEMETRICE

Middle

SHARNAE

Last Name

DAVIS

Suffix

Business Name

DEMETRICE SHARNAE DAVIS MD

Original Issue Date

01/13/2010

Effective Date

01/13/2010

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

04/07/2011