TODD THOMAS DAVIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

ACTIVE

Business

First Name

TODD

Middle

THOMAS

Last Name

DAVIS

Suffix

Business Name

TODD THOMAS DAVIS MD

Original Issue Date

01/26/2004

Effective Date

05/10/2023

Expiration Date

07/31/2026

City

ELMHURST

State

Zip

60126

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/10/2023