SHAWN D DAVENPORT Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011513

License Status

INACTIVE

Business

First Name

SHAWN

Middle

Last Name

DAVENPORT

Business Name

SHAWN D DAVENPORT

Original Issue Date

09/28/1999

Effective Date

10/03/2016

Expiration Date

09/30/2018

City

WALWORTH

State

Zip

53184

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/07/2018