WILLIAM GRADY DAVENPORT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131401

License Status

ACTIVE

Business

Title

First Name

WILLIAM

Middle

GRADY

Last Name

DAVENPORT

Business Name

WILLIAM GRADY DAVENPORT MD

Original Issue Date

09/17/2012

Effective Date

05/21/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60630

County

COOK

Ever Disciplined

LastModifiedDate

05/21/2023