KENNETH S DAVIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****33

License Status

NOT RENEWED

Business

First Name

KENNETH S

Last Name

DAVIS

Suffix

Business Name

KENNETH S DAVIS MD

Original Issue Date

03/26/1985

Effective Date

03/26/1985

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60629

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006