TIMOTHY BRANDON DAVIDSON MD - Medical Doctor License in Louisiana | # 036129314

TIMOTHY BRANDON DAVIDSON MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129314

License Status

NOT RENEWED

Business

N

Title

MD

First Name

TIMOTHY

Middle

BRANDON

Last Name

DAVIDSON

Business Name

TIMOTHY BRANDON DAVIDSON MD

Original Issue Date

12/05/2011

Effective Date

12/05/2011

Expiration Date

07/31/2014

State

LA

Ever Disciplined

N

LastModifiedDate

11/17/2014