DAVID P DAVIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

NOT RENEWED

Business

First Name

DAVID P

Last Name

DAVIS

Suffix

Business Name

DAVID P DAVIS MD

Original Issue Date

08/12/1993

Effective Date

08/12/1993

Expiration Date

07/31/2002

City

MARSHALL

State

Zip

62441

County

CLARK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020