DEAN RYAN DAVIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036150782

License Status

ACTIVE

Business

Title

First Name

DEAN

Middle

RYAN

Last Name

DAVIS

Business Name

DEAN RYAN DAVIS MD

Original Issue Date

09/19/2019

Effective Date

07/10/2023

Expiration Date

07/31/2026

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

07/10/2023