DAVID J DAVENPORT Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046006659

License Status

INACTIVE

Business

First Name

DAVID J

Last Name

DAVENPORT

Business Name

DAVID J DAVENPORT

Original Issue Date

08/14/1974

Expiration Date

03/31/1994

City

OCONOMOWOC

State

Zip

53066

County

WISCONSIN

Ever Disciplined

LastModifiedDate

08/31/2005