JESSE ALAN DAVIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

NOT RENEWED

Business

Title

First Name

JESSE

Middle

ALAN

Last Name

DAVIS

Business Name

JESSE ALAN DAVIS MD

Original Issue Date

07/18/2017

Effective Date

07/18/2017

Expiration Date

09/30/2020

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021