TIMOTHY BRANDON DAVIDSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129314

License Status

NOT RENEWED

Business

Title

First Name

TIMOTHY

Middle

BRANDON

Last Name

DAVIDSON

Business Name

TIMOTHY BRANDON DAVIDSON MD

Original Issue Date

12/05/2011

Effective Date

12/05/2011

Expiration Date

07/31/2014

City

BATON ROUGE

State

Zip

70810

County

LOUISIANA

Ever Disciplined

LastModifiedDate

11/17/2014