DAVID JEREMY DAVIDSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

ACTIVE

Business

First Name

DAVID

Middle

JEREMY

Last Name

DAVIDSON

Suffix

Business Name

DAVID JEREMY DAVIDSON MD

Original Issue Date

03/23/2010

Effective Date

04/26/2023

Expiration Date

07/31/2026

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/26/2023