License Directory

Richard D Davenport Md

Inactive

Illinois license 036044999

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
036044999
Status
Inactive
First issued
November 24, 1971
Expired
July 31, 1987
License holder
Richard D Davenport Md
Entity type
Individual

Classifications

More from the license record

Current term began
11/24/1971

Contact

West Allis, WI 53227
Wisconsin County