JOANNA L DAVIDSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****34

License Status

ACTIVE

Business

Title

First Name

JOANNA

Middle

Last Name

DAVIDSON

Business Name

JOANNA L DAVIDSON MD

Original Issue Date

10/01/2012

Effective Date

04/20/2023

Expiration Date

07/31/2026

City

GLENCOE

State

Zip

60022

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/20/2023