MICHAEL STEVEN DAVENPORT Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****76

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

STEVEN

Last Name

DAVENPORT

Business Name

MICHAEL STEVEN DAVENPORT

Original Issue Date

10/04/2005

Effective Date

03/13/2024

Expiration Date

05/31/2026

City

MC LEANSBORO

State

Zip

62859

County

HAMILTON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026