STEPHEN W DAVIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

NOT RENEWED

Business

First Name

STEPHEN W

Last Name

DAVIS

Suffix

Business Name

STEPHEN W DAVIS MD

Original Issue Date

08/02/1983

Effective Date

08/02/1983

Expiration Date

07/31/1987

City

ANNA

State

Zip

62906

County

UNION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006