Richard D Davenport Md
InactiveIllinois 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
- Licensed Physician and Surgeon (Medical Board) Physicians & Surgeons
More from the license record
- Current term began
- 11/24/1971
Contact
West Allis, WI 53227
Wisconsin County