GEORGIA L DAVIS PA Physician Assistant

Address: 164 Longview Ave, White Plains, NY 10605

GEORGIA L DAVIS PA (Credential# 743097) is Physician Assistant licensed with Connecticut Department of Consumer Protection. The license expiration date is 2017-03-31.

Business Overview

Name GEORGIA L DAVIS PA
Credential ID 743097
Credential Code 23.001348
Credential Physician Assistant
Address 164 Longview Ave
White Plains
NY 10605
Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2003-05-19
Effective Date 2016-04-01
Expiration Date 2017-03-31
Refresh Date 2017-07-04

Other licenses

ID Credential Code Credential Type Term Status
369733 CSP.0034887 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2015-03-01 - 2017-02-28 LAPSED

Office Location

Street Address 164 LONGVIEW AVE
City WHITE PLAINS
State NY
Zip Code 10605

Entities with the same location

Name Office Address Expiration Date
GEORGIA L DAVIS PA 164 Longview Ave, White Plains, NY 10605 2017-02-28

Competitor

Search similar business entities

City WHITE PLAINS
Zip Code 10605
License Type Physician Assistant
License Type + County Physician Assistant + WHITE PLAINS

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).