JEFFREY LOUIS DAVIS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000573

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

LOUIS

Last Name

DAVIS

Business Name

JEFFREY LOUIS DAVIS

Original Issue Date

01/10/1994

Effective Date

03/15/2016

Expiration Date

03/01/2018

City

RENO

State

Zip

89511

Ever Disciplined

LastModifiedDate

12/03/2018

Case Number

2007007868

Action

Fine

Discipline Start Date

01/28/2009

Discipline Reason

Physician assistant license reprimanded and fined $500 for violation of Illinois Physician Assistant Practice Act.