DANIEL THOMAS DAVISON DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

ACTIVE

Business

First Name

DANIEL

Middle

THOMAS

Last Name

DAVISON

Suffix

Business Name

DANIEL THOMAS DAVISON DO

Original Issue Date

01/01/1997

Effective Date

06/23/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60638

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/23/2023