STEWART DAVIDSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

ACTIVE

Business

Title

First Name

STEWART

Last Name

DAVIDSON

Business Name

STEWART DAVIDSON MD

Original Issue Date

05/05/2025

Effective Date

05/05/2025

Expiration Date

07/31/2026

City

SHILOH

State

Zip

62269

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/05/2025