LANING R DAVIDSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

NOT RENEWED

Business

First Name

LANING R

Last Name

DAVIDSON

Suffix

Business Name

LANING R DAVIDSON MD

Original Issue Date

03/06/1987

Effective Date

03/06/1987

Expiration Date

07/31/1987

City

OSHKOSH

State

Zip

54901

County

WISCONSIN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006