AMANDA C DAVENPORT Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****73

License Status

ACTIVE

Business

First Name

AMANDA

Middle

Last Name

DAVENPORT

Business Name

AMANDA C DAVENPORT

Original Issue Date

10/05/2009

Effective Date

02/03/2026

Expiration Date

03/01/2028

City

PLAINFIELD

State

Zip

60544

County

WILL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/03/2026