ALAN LEE DAVENPORT DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****05

License Status

NOT RENEWED

Business

Title

DDS

First Name

ALAN

Middle

LEE

Last Name

DAVENPORT

Business Name

ALAN LEE DAVENPORT DDS

Original Issue Date

11/14/1983

Effective Date

09/17/2015

Expiration Date

09/30/2018

City

ORLAND PARK

State

Zip

60462

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018