ISAAC EUGENE DAVISON DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****09

License Status

ACTIVE

Business

Title

DDS

First Name

ISAAC

Middle

EUGENE

Last Name

DAVISON

Business Name

ISAAC EUGENE DAVISON DDS

Original Issue Date

03/21/2008

Effective Date

06/20/2024

Expiration Date

09/30/2027

City

DU QUOIN

State

Zip

62832

County

PERRY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/20/2024