DAVID STANLEY DAVIS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104209

License Status

INACTIVE

Business

First Name

DAVID

Middle

STANLEY

Last Name

DAVIS

Suffix

Business Name

DAVID STANLEY DAVIS MD

Original Issue Date

02/16/2001

Effective Date

04/21/2011

Expiration Date

07/31/2014

City

ST LOUIS

State

Zip

63105

Ever Disciplined

LastModifiedDate

07/02/2014