THOMAS M DAVIS JR MD 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

THOMAS M

Last Name

DAVIS JR

Suffix

Business Name

THOMAS M DAVIS JR MD

Original Issue Date

06/04/1985

Effective Date

06/04/1985

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006