David J Davenport
InactiveIllinois license 046006659
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 046006659
- Status
- Inactive
- First issued
- August 14, 1974
- Expired
- March 31, 1994
- License holder
- David J Davenport
- Entity type
- Individual
Classifications
- Licensed Optometrist (Optometry) Vision & Hearing
Contact
Oconomowoc, WI 53066
Wisconsin County