License holder summary

Scott O. Davis is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Scott O. Davis is ATTN: Marcia Troup Medical Staff Office, 200 High Park Ave., Goshen IN 46526. This licensed professional license is not current. The license was granted 07/27/2004 and expired on 06/30/2005.

Indiana

Professional Licensing Agency

Scott O. Davis
Controlled Substance Registration - Physician
License number
01059570B
Date granted
07/27/2004
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
ATTN: Marcia Troup Medical Staff Office, 200 High Park Ave., Goshen IN 46526
indianalicensing.org
ID 5859151
LAST UPDATED 2024-04-13 14:06:59 UTC

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