CONNOR STEVEN DAVENPORT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****40

License Status

ACTIVE

Business

Title

First Name

CONNOR

Middle

STEVEN

Last Name

DAVENPORT

Business Name

CONNOR STEVEN DAVENPORT MD

Original Issue Date

08/15/2023

Effective Date

08/15/2023

Expiration Date

07/31/2026

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/15/2023