JOSEPH KENT DAVIDSON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

CANCELLED

Business

First Name

JOSEPH

Middle

KENT

Last Name

DAVIDSON

Suffix

Business Name

JOSEPH KENT DAVIDSON MD

Original Issue Date

03/07/2000

Effective Date

03/07/2000

Expiration Date

07/31/2005

City

CARBONDALE

State

Zip

62901

County

JACKSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020