KIMBERLY ANNE DAVIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

ANNE

Last Name

DAVIS

Suffix

Business Name

KIMBERLY ANNE DAVIS MD

Original Issue Date

06/18/1998

Effective Date

06/18/1998

Expiration Date

07/31/2008

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008