BOLIVIA T DAVIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036118420

License Status

NOT RENEWED

Business

First Name

BOLIVIA

Middle

Last Name

DAVIS

Suffix

Business Name

BOLIVIA T DAVIS MD

Original Issue Date

05/16/2007

Effective Date

05/19/2014

Expiration Date

07/31/2017

City

MITCHELLVILLE

State

Zip

20721

County

MARYLAND

Ever Disciplined

LastModifiedDate

11/01/2017