LISA A DAVIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036132016

License Status

ACTIVE

Business

Title

First Name

LISA

Middle

Last Name

DAVIS

Business Name

LISA A DAVIS MD

Original Issue Date

02/21/2013

Effective Date

06/29/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/18/2025