SUANNE MELANIE DAVES 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

SUANNE

Middle

MELANIE

Last Name

DAVES

Suffix

Business Name

SUANNE MELANIE DAVES MD

Original Issue Date

02/04/1998

Effective Date

08/19/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011