JON CLAY DAVIS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056604

License Status

EXPIRED

Business

First Name

JON

Middle

CLAY

Last Name

DAVIS

Suffix

Business Name

JON CLAY DAVIS MD

Original Issue Date

06/26/2012

Effective Date

06/26/2012

Expiration Date

06/25/2013

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

10/07/2013