Tish D Davis
Physician Assistant at W Williams Rd, Powell Butte, OR

License number
Colorado 1941
Issued Date
Jul 6, 2004
Renew Date
Apr 12, 2005
Expiration Date
Jan 31, 2006
Type
Physician Assistant
Address
Address
2490 S Williams Rd, Powell Butte, OR 97753
LicenseFiles verified this license of Dec 9, 2016 at the Colorado - Department of Regulatory Agencies.