ALBERT RAYMOND DAVIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036090362

License Status

NOT RENEWED

Business

First Name

ALBERT RAYMOND

Last Name

DAVIS

Suffix

Business Name

ALBERT RAYMOND DAVIS MD

Original Issue Date

03/17/1995

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

LA SALLE

State

Zip

61301

County

LA SALLE

Ever Disciplined

LastModifiedDate

01/14/2021