LARRY M DAVIS Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036092155

License Status

NOT RENEWED

Business

First Name

LARRY M

Last Name

DAVIS

Business Name

LARRY M DAVIS

Original Issue Date

11/17/1995

Effective Date

11/17/1995

Expiration Date

07/31/2005

City

INDIANAPOLIS

State

Zip

46202

County

INDIANA

Ever Disciplined

LastModifiedDate

10/09/2006