JOHN EDWARD DAVINE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

ACTIVE

Business

First Name

JOHN

Middle

EDWARD

Last Name

DAVINE

Suffix

Business Name

JOHN EDWARD DAVINE MD

Original Issue Date

08/25/1999

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

AURORA

State

Zip

60504

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/13/2023