KURTIS WILLIAM DAVIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

NOT RENEWED

Business

First Name

KURTIS

Middle

WILLIAM

Last Name

DAVIS

Suffix

Business Name

KURTIS WILLIAM DAVIS MD

Original Issue Date

08/16/2011

Effective Date

04/22/2014

Expiration Date

07/31/2017

City

CARTHAGE

State

Zip

62321

County

HANCOCK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017