JASON SCOTT DAVIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

ACTIVE

Business

First Name

JASON

Middle

SCOTT

Last Name

DAVIS

Suffix

Business Name

JASON SCOTT DAVIS MD

Original Issue Date

08/19/1999

Effective Date

04/20/2023

Expiration Date

07/31/2026

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/20/2023