ALBERT RAYMOND DAVIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

NOT RENEWED

Business

First Name

ALBERT RAYMOND

Last Name

DAVIS

Suffix

Business Name

ALBERT RAYMOND DAVIS MD

Original Issue Date

05/02/1995

Effective Date

04/11/2017

Expiration Date

09/30/2020

City

LA SALLE

State

Zip

61301

County

LA SALLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021