License Directory

Mark Brian Davenport

Expired

California 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

More from the license record

License type code
9503

Other California licenses under this name

  • CA
    Mark Brian Davenport
    License A40119
    Physician and Surgeon A
    Active
    Fullerton, CA
    Expires Apr 30, 2027

Contact

100 E Valencia Mesa Drive #105
Fullerton, CA 92635
Orange County