ALYSA DAVIS DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

ACTIVE

Business

Title

First Name

ALYSA

Last Name

DAVIS

Business Name

ALYSA DAVIS DO

Original Issue Date

06/11/2021

Effective Date

07/04/2023

Expiration Date

07/31/2026

City

ZWINGLE

State

Zip

52079

County

JACKSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/04/2023