JACK NORMAN DAVIS DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036036674

License Status

INACTIVE

Business

First Name

JACK NORMAN

Last Name

DAVIS

Suffix

Business Name

JACK NORMAN DAVIS DO

Original Issue Date

09/01/1960

Effective Date

09/01/1960

Expiration Date

07/31/1999

City

HAMILTON

State

Zip

62341

County

HANCOCK

Ever Disciplined

LastModifiedDate

09/20/2006