MILTON L DAVENPORT III DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****61

License Status

ACTIVE

Business

Title

DMD

First Name

MILTON

Middle

Last Name

DAVENPORT

Suffix

III

Business Name

MILTON L DAVENPORT III DMD

Original Issue Date

11/12/2010

Effective Date

09/23/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60602

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/23/2024