Lisa M Davenport
ExpiredIllinois license 044003178
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 044003178
- Status
- Expired (Not Renewed)
- First issued
- April 15, 1986
- Expired
- November 30, 1989
- License holder
- Lisa M Davenport
- Entity type
- Individual
Classifications
- Licensed Nursing Home Administrator Other Health Care
Contact
Urbana, IL 61801
Champaign County