ELOISE C CHAPMAN-DAVIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

NOT RENEWED

Business

First Name

ELOISE

Middle

Last Name

CHAPMAN-DAVIS

Suffix

Business Name

ELOISE C CHAPMAN-DAVIS MD

Original Issue Date

05/20/2008

Effective Date

06/02/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60453

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014