JACQUELYN HALL-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

First Name

JACQUELYN

Last Name

HALL-DAVIS

Suffix

Business Name

JACQUELYN HALL-DAVIS MD

Original Issue Date

07/06/1990

Effective Date

08/03/2023

Expiration Date

07/31/2026

City

OFALLON

State

Zip

62269

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/03/2023