JONATHAN L DAVIS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036049204

License Status

INACTIVE

Business

First Name

JONATHAN L

Last Name

DAVIS

Suffix

Business Name

JONATHAN L DAVIS MD

Original Issue Date

06/03/1974

Effective Date

06/03/1974

Expiration Date

07/31/1987

City

EDMOND

State

Zip

73034

County

OKLAHOMA

Ever Disciplined

LastModifiedDate

09/20/2006