DAYLE VALERIE DAVENPORT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050237

License Status

EXPIRED

Business

First Name

DAYLE

Middle

VALERIE

Last Name

DAVENPORT

Suffix

Business Name

DAYLE VALERIE DAVENPORT MD

Original Issue Date

06/24/2005

Effective Date

06/24/2005

Expiration Date

06/23/2008

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

06/26/2008