DANIELLE RENAE DAVIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121545

License Status

NOT RENEWED

Business

First Name

DANIELLE

Middle

RENAE

Last Name

DAVIS

Suffix

Business Name

DANIELLE RENAE DAVIS MD

Original Issue Date

07/24/2008

Effective Date

07/24/2008

Expiration Date

07/31/2011

City

COLUMBIA

State

Zip

29209

County

SOUTH CAROLINA

Ever Disciplined

LastModifiedDate

11/14/2011