JESSICA LYN FORD-DAVIS DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

ACTIVE

Business

Title

First Name

JESSICA

Middle

LYN

Last Name

FORD-DAVIS

Business Name

JESSICA LYN FORD-DAVIS DO

Original Issue Date

06/24/2022

Effective Date

05/03/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61637

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/03/2023