Deron M Davenport
InactiveCalifornia license 48593
License
- Licensed by
- Dental Board of California
- License number
- 48593
- Status
- Inactive (CurrentInactive)
- First issued
- September 10, 2001
- Expires
- August 31, 2027
- License holder
- Deron M Davenport
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
2300 N Craycroft Ste #3
Tucson, AZ 85712
Tucson, AZ 85712
Pima County