NANCY B DAVIS Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101457

License Status

NOT RENEWED

Business

First Name

NANCY

Middle

Last Name

DAVIS

Business Name

NANCY B DAVIS

Original Issue Date

10/12/1999

Effective Date

05/19/2014

Expiration Date

07/31/2017

City

MANITOWOC

State

Zip

54220

Ever Disciplined

LastModifiedDate

11/29/2017