WILLIE BOB DAVIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036049130

License Status

NOT RENEWED

Business

First Name

WILLIE BOB

Last Name

DAVIS

Suffix

Business Name

WILLIE BOB DAVIS MD

Original Issue Date

05/04/1974

Effective Date

05/04/1974

City

STILWELL

State

Zip

66085

County

KANSAS

Ever Disciplined

LastModifiedDate

09/20/2006