WELLINGTON JOSEPH DAVIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

NOT RENEWED

Business

Title

First Name

WELLINGTON

Middle

JOSEPH

Last Name

DAVIS

Business Name

WELLINGTON JOSEPH DAVIS MD

Original Issue Date

03/22/2004

Effective Date

03/22/2004

Expiration Date

07/31/2008

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008