BRENT RYAN DAVIDSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

License Status

NOT RENEWED

Business

First Name

BRENT

Middle

RYAN

Last Name

DAVIDSON

Suffix

Business Name

BRENT RYAN DAVIDSON MD

Original Issue Date

03/06/2006

Effective Date

03/06/2006

Expiration Date

07/31/2008

City

NASHVILLE

State

Zip

62263

County

WASHINGTON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011