DOUGLAS JACKSON DAVIS MD - Medical Doctor License in Wisconsin | # 036139608

DOUGLAS JACKSON DAVIS MD

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036139608

License Status

ACTIVE

Business

N

Title

MD

First Name

DOUGLAS

Middle

JACKSON

Last Name

DAVIS

Business Name

DOUGLAS JACKSON DAVIS MD

Original Issue Date

01/15/2016

Effective Date

05/09/2023

Expiration Date

07/31/2026

State

WI

Ever Disciplined

N

LastModifiedDate

05/09/2023