MARK EDWARD DAVIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036092719

License Status

ACTIVE

Business

First Name

MARK EDWARD

Last Name

DAVIS

Suffix

Business Name

MARK EDWARD DAVIS MD

Original Issue Date

05/24/1996

Effective Date

04/05/2023

Expiration Date

07/31/2026

City

GENESEO

State

Zip

61254

County

HENRY

Ever Disciplined

LastModifiedDate

04/05/2023