AMANDA C DAVENPORT Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003583

License Status

ACTIVE

Business

First Name

AMANDA

Middle

Last Name

DAVENPORT

Business Name

AMANDA C DAVENPORT

Original Issue Date

09/15/2009

Effective Date

02/03/2026

Expiration Date

03/01/2028

City

PLAINFIELD

State

Zip

60544

County

WILL

Ever Disciplined

LastModifiedDate

02/03/2026