JOSEPH P DAVENPORT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036079661

License Status

NOT RENEWED

Business

First Name

JOSEPH P

Last Name

DAVENPORT

Suffix

Business Name

JOSEPH P DAVENPORT MD

Original Issue Date

01/09/1990

Effective Date

01/09/1990

Expiration Date

07/31/1993

City

CLAVENDON HILLS

State

Zip

60514

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/20/2006