DEBRA JEAN DAVIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

NOT RENEWED

Business

Title

First Name

DEBRA

Middle

JEAN

Last Name

DAVIS

Business Name

DEBRA JEAN DAVIS MD

Original Issue Date

03/23/2017

Effective Date

03/23/2017

Expiration Date

07/31/2017

City

SPOKANE

State

Zip

99208

County

WASHINGTON STATE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020