MICHAEL RAY DAVENPORT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036063450

License Status

ACTIVE

Business

First Name

MICHAEL RAY

Last Name

DAVENPORT

Suffix

Business Name

MICHAEL RAY DAVENPORT MD

Original Issue Date

10/23/1981

Effective Date

06/14/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

06/14/2023