DANIELLE SAKAGUCHI 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

Title

First Name

DANIELLE

Middle

SAKAGUCHI

Last Name

DAVIS

Business Name

DANIELLE SAKAGUCHI DAVIS MD

Original Issue Date

12/01/2017

Effective Date

12/01/2017

Expiration Date

09/30/2020

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021