THOMAS WEST DAVIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

WEST

Last Name

DAVIS

Suffix

Business Name

THOMAS WEST DAVIS MD

Original Issue Date

01/01/1997

Expiration Date

09/01/1981

City

DONGOLA

State

Zip

62926

County

UNION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020