DAVID STANLEY DAVIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

STANLEY

Last Name

DAVIS

Suffix

Business Name

DAVID STANLEY DAVIS MD

Original Issue Date

03/19/2001

Effective Date

05/16/2011

Expiration Date

07/31/2014

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2014