GEORGIA A DAVIS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019818

License Status

EXPIRED

Business

First Name

GEORGIA

Middle

Last Name

DAVIS

Suffix

Business Name

GEORGIA A DAVIS MD

Original Issue Date

06/26/1986

Effective Date

06/26/1986

Expiration Date

07/01/1990

City

SPRINGFIELD

State

Zip

62708

County

SANGAMON

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006