CAROLINA D DAVIDE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

NOT RENEWED

Business

First Name

CAROLINA

Middle

Last Name

DAVIDE

Suffix

Business Name

CAROLINA D DAVIDE MD

Original Issue Date

03/28/2000

Effective Date

03/28/2000

Expiration Date

07/31/2005

City

PEOTONE

State

Zip

60468

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006