LARRY M DAVIS Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

NOT RENEWED

Business

First Name

LARRY M

Last Name

DAVIS

Business Name

LARRY M DAVIS

Original Issue Date

03/21/1996

Effective Date

03/21/1996

Expiration Date

07/31/1999

City

LAWRENCEVILLE

State

Zip

62439

County

LAWRENCE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006