DEBRA JEAN DAVIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

NOT RENEWED

Business

Title

First Name

DEBRA

Middle

JEAN

Last Name

DAVIS

Business Name

DEBRA JEAN DAVIS MD

Original Issue Date

10/18/2019

Effective Date

08/24/2020

Expiration Date

07/31/2023

City

COLBERT

State

Zip

99005

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023