JOHN EDWARD DAVINE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

EDWARD

Last Name

DAVINE

Suffix

Business Name

JOHN EDWARD DAVINE MD

Original Issue Date

05/04/1999

Effective Date

05/04/1999

Expiration Date

07/31/2002

City

ST CHARLES

State

Zip

60174

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020