Georgia L Davis Pa Physician Assistant
164 Longview Ave, White Plains, NY 10605


Georgia L Davis Pa is licensed in the eLicensing system of Connecticut. The license credential ID is 743097. The license type is Physician Assistant. The license status is ACTIVE. The address is 164 Longview Ave, White Plains, NY 10605. The zip code is 10605.


Georgia L Davis Pa · 164 Longview Ave, White Plains, NY 10605

Credential ID 743097
Name GEORGIA L DAVIS PA
Type INDIVIDUAL
Address 164 LONGVIEW AVE
WHITE PLAINS, NY 10605
License Credential Physician Assistant
Full Credential Code 23.001348
Credential Type 23
Credential Number 1348
Status ACTIVE
Status Reason CURRENT
Active 1
Issue Date 05/19/2003
Effective Date 04/01/2016
Expiration Date 03/31/2017
Record Refresh Date 04/01/2016

GEORGIA L DAVIS PA · Connecticut Business

Georgia L Davis Pa · Controlled Substance Registration for Practitioner 164 Longview Ave, White Plains, NY 10605

Zip 10605 · Physician Assistant · Connecticut Business

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Zip 10605 · Connecticut Business

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