CARRIE E DAVIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

NOT RENEWED

Business

First Name

CARRIE

Middle

Last Name

DAVIS

Suffix

Business Name

CARRIE E DAVIS MD

Original Issue Date

10/24/2006

Effective Date

10/24/2006

Expiration Date

07/31/2008

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011