JENNIFER A DAVIS MD Environmental Health Practitioner License verification

Business Entity

INACTIVE

License Type

Environmental Health Practitioner

Description

LICENSED ENVIRONMENTAL HEALTH PRACTITIONER

License Number

183000708

License Status

INACTIVE

Business

Title

First Name

JENNIFER

Middle

Last Name

DAVIS

Business Name

JENNIFER A DAVIS MD

Original Issue Date

04/07/2003

Effective Date

04/12/2010

Expiration Date

04/30/2012

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

02/09/2012