MICHAEL STEVEN DAVENPORT - Advanced Practice Nurse License in Illinois | # 209005569

MICHAEL STEVEN DAVENPORT

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209005569

License Status

ACTIVE

Business

N

First Name

MICHAEL

Middle

STEVEN

Last Name

DAVENPORT

Business Name

MICHAEL STEVEN DAVENPORT

Original Issue Date

06/07/2005

Effective Date

03/13/2024

Expiration Date

05/31/2026

State

IL

Ever Disciplined

N

LastModifiedDate

03/02/2026