JEFFREY LOUIS DAVIS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****99

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

LOUIS

Last Name

DAVIS

Business Name

JEFFREY LOUIS DAVIS

Original Issue Date

03/09/2001

Effective Date

03/16/2010

Expiration Date

03/01/2012

City

HIGHLAND

State

Zip

62249

County

MADISON

Ever Disciplined

LastModifiedDate

12/03/2018