CHARLES JOSEPH DAVIDSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

ACTIVE

Business

Title

First Name

CHARLES

Middle

JOSEPH

Last Name

DAVIDSON

Business Name

CHARLES JOSEPH DAVIDSON MD

Original Issue Date

11/16/1983

Effective Date

06/15/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/15/2023