TODD W DAVIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

NOT RENEWED

Business

Title

First Name

TODD

Middle

Last Name

DAVIS

Business Name

TODD W DAVIS MD

Original Issue Date

09/28/2001

Effective Date

09/28/2001

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60620

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011