TERESA E DAVIS Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

ACTIVE

Business

First Name

TERESA

Middle

Last Name

DAVIS

Business Name

TERESA E DAVIS

Original Issue Date

11/04/2005

Effective Date

04/14/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60616

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/14/2023