ROBERT L DAVENPORT Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071002052

License Status

ACTIVE

Business

First Name

ROBERT L

Last Name

DAVENPORT

Business Name

ROBERT L DAVENPORT

Original Issue Date

12/28/1976

Effective Date

07/10/2024

Expiration Date

09/30/2026

City

PLYMOUTH

State

Zip

46563

Ever Disciplined

LastModifiedDate

07/10/2024