Mark Brian Davenport
ExpiredCalifornia license 25736
License
- Licensed by
- California Physician Assistant Board
- License number
- 25736
- Status
- Expired (Delinquent)
- First issued
- May 2, 1996
- Expired
- June 30, 2001
- License holder
- Mark Brian Davenport
- Entity type
- Individual
Classifications
- pab/SA Sa Physicians & Surgeons
More from the license record
- License type code
- 9503
Other California licenses under this name
-
CA
ActiveFullerton, CAExpires Apr 30, 2027
Contact
100 E Valencia Mesa Drive #105
Fullerton, CA 92635
Fullerton, CA 92635
Orange County