MICHAEL STEVEN DAVENPORT Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****60

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

STEVEN

Last Name

DAVENPORT

Business Name

MICHAEL STEVEN DAVENPORT

Original Issue Date

06/07/2005

Effective Date

06/07/2005

Expiration Date

05/31/2006

City

CARMI

State

Zip

62821

County

WHITE

Ever Disciplined

LastModifiedDate

10/09/2006