JASON G DAVIS DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108071

License Status

NOT RENEWED

Business

First Name

JASON

Middle

Last Name

DAVIS

Suffix

Business Name

JASON G DAVIS DO

Original Issue Date

10/24/2002

Effective Date

10/24/2002

Expiration Date

07/31/2005

City

DAVENPORT

State

Zip

52804

County

IOWA

Ever Disciplined

LastModifiedDate

10/09/2006