ELISSA SLOANE DAVIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

ACTIVE

Business

Title

First Name

ELISSA

Middle

SLOANE

Last Name

DAVIS

Business Name

ELISSA SLOANE DAVIS MD

Original Issue Date

04/03/2020

Effective Date

05/16/2023

Expiration Date

07/31/2026

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/16/2023