RAYMOND A DAVIS JR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

ACTIVE

Business

First Name

RAYMOND A

Last Name

DAVIS JR

Suffix

Business Name

RAYMOND A DAVIS JR MD

Original Issue Date

09/03/1986

Effective Date

07/11/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/11/2023