RICHARD D DAVENPORT MD - Medical Doctor License in Wisconsin | # 036044999

RICHARD D DAVENPORT MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036044999

License Status

INACTIVE

Business

N

First Name

RICHARD D

Last Name

DAVENPORT

Suffix

MD

Business Name

RICHARD D DAVENPORT MD

Original Issue Date

11/24/1971

Effective Date

11/24/1971

Expiration Date

07/31/1987

State

WI

Ever Disciplined

N

LastModifiedDate

09/20/2006