CRAIG RICHARD DAVENPORT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036135436

License Status

ACTIVE

Business

Title

First Name

CRAIG

Middle

RICHARD

Last Name

DAVENPORT

Business Name

CRAIG RICHARD DAVENPORT MD

Original Issue Date

06/09/2014

Effective Date

04/27/2023

Expiration Date

07/31/2026

City

PITTSFIELD

State

Zip

62363

County

PIKE

Ever Disciplined

LastModifiedDate

04/27/2023