THOMAS JAMES DAVIS Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

JAMES

Last Name

DAVIS

Business Name

THOMAS JAMES DAVIS

Original Issue Date

11/07/2002

Effective Date

11/07/2002

Expiration Date

07/31/2005

City

PITTSFIELD

State

Zip

62363

County

PIKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006