License holder summary

Henry Johannes Davis is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Henry Johannes Davis is Providence Medical Group, 2723 South 7th Street, Suite G, Terre Haute IN 47802. This licensed professional license is not current. The license was granted 01/25/1996 and expired on 10/31/2013.

Indiana

Professional Licensing Agency

Henry Johannes Davis
Controlled Substance Registration - Physician
License number
01044622B
Date granted
01/25/1996
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Suspended
Address
Providence Medical Group, 2723 South 7th Street, Suite G, Terre Haute IN 47802
indianalicensing.org
ID 5925393
LAST UPDATED 2024-04-02 16:35:01 UTC

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