SHANNON MICHELLE DAVIS DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036164424

License Status

ACTIVE

Business

Title

First Name

SHANNON

Middle

MICHELLE

Last Name

DAVIS

Business Name

SHANNON MICHELLE DAVIS DO

Original Issue Date

04/18/2023

Effective Date

04/18/2023

Expiration Date

07/31/2026

City

HEBRON

State

Zip

41048

Ever Disciplined

LastModifiedDate

04/18/2023