JEFFREY DEAN DAVIS DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107720

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

DEAN

Last Name

DAVIS

Suffix

Business Name

JEFFREY DEAN DAVIS DO

Original Issue Date

08/22/2002

Effective Date

08/22/2002

Expiration Date

07/31/2005

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

10/09/2006