LOWELL SCOTT DAVIS DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

NOT RENEWED

Business

First Name

LOWELL

Middle

SCOTT

Last Name

DAVIS

Suffix

Business Name

LOWELL SCOTT DAVIS DO

Original Issue Date

03/24/2003

Effective Date

03/24/2003

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006