FRED N DAVIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094266

License Status

NOT RENEWED

Business

First Name

FRED N

Last Name

DAVIS

Suffix

Business Name

FRED N DAVIS MD

Original Issue Date

09/24/1996

Effective Date

09/24/1996

Expiration Date

07/31/2005

City

GRAND RAPIDS

State

Zip

49546

County

MICHIGAN

Ever Disciplined

LastModifiedDate

05/24/2018