TREG DAVIS BROWN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111501

License Status

ACTIVE

Business

First Name

TREG

Middle

DAVIS

Last Name

BROWN

Suffix

Business Name

TREG DAVIS BROWN MD

Original Issue Date

05/27/2004

Effective Date

06/06/2023

Expiration Date

07/31/2026

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

06/06/2023