LESHAUN DAVENPORT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072002

License Status

EXPIRED

Business

Title

First Name

LESHAUN

Last Name

DAVENPORT

Business Name

LESHAUN DAVENPORT MD

Original Issue Date

06/24/2021

Effective Date

06/24/2021

Expiration Date

06/23/2022

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

10/11/2022