DOUGLAS JACKSON DAVIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036139608

License Status

ACTIVE

Business

Title

First Name

DOUGLAS

Middle

JACKSON

Last Name

DAVIS

Business Name

DOUGLAS JACKSON DAVIS MD

Original Issue Date

01/15/2016

Effective Date

05/09/2023

Expiration Date

07/31/2026

City

OREGON

State

Zip

53575

Ever Disciplined

LastModifiedDate

05/09/2023