DANIEL L DAVIS Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****40

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

Last Name

DAVIS

Business Name

DANIEL L DAVIS

Original Issue Date

11/07/2001

Effective Date

11/07/2001

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60608

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006