CRAIG RICHARD DAVENPORT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

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

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/27/2023