License holder summary

Dr. KEITH WAYNE DAVIS is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. KEITH WAYNE DAVIS is 2211 LOMAS NE ALBUQUERQUE NM 87131. This licensed professional license is current. The license was granted 09/27/2016 and expired on 06/30/2018.

Idaho

Division of Occupational and Professional Licenses

Dr. KEITH WAYNE DAVIS
Board Of Medicine
License number
M-13465
Date granted
09/27/2016
Date expires
06/30/2018
Class
Board Of Medicine
Status
Licensed
Address
2211 LOMAS NE ALBUQUERQUE NM 87131
idaholicensing.com
ID 48339089
LAST UPDATED 2024-03-20 12:16:01 UTC

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