MICHAEL RAY DAVENPORT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

NOT RENEWED

Business

First Name

MICHAEL RAY

Last Name

DAVENPORT

Suffix

Business Name

MICHAEL RAY DAVENPORT MD

Original Issue Date

04/08/1983

Effective Date

06/04/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60617

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020