KENNETH ALLAN DAVENPORT MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060856

License Status

INACTIVE

Business

First Name

KENNETH ALLAN

Last Name

DAVENPORT

Suffix

Business Name

KENNETH ALLAN DAVENPORT MD

Original Issue Date

09/11/1980

Effective Date

09/11/1980

Expiration Date

07/31/1987

City

MARQUETTE

State

Zip

49855

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/20/2006