GEORGIA A DAVIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

ACTIVE

Business

First Name

GEORGIA

Middle

Last Name

DAVIS

Suffix

Business Name

GEORGIA A DAVIS MD

Original Issue Date

05/05/1989

Effective Date

06/14/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/14/2023