JASON SCOTT DAVIS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038477

License Status

EXPIRED

Business

First Name

JASON

Middle

SCOTT

Last Name

DAVIS

Suffix

Business Name

JASON SCOTT DAVIS MD

Original Issue Date

07/01/1998

Effective Date

07/01/1998

Expiration Date

06/30/2001

City

PEORIA

State

Zip

61607

County

PEORIA

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006