License holder summary

Alyssa N. Davenport is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Alyssa N. Davenport is Walton IN 46994. This licensed professional license is current. The license was granted 08/04/2014 and expired on 02/04/2015.

Indiana

Professional Licensing Agency

Alyssa N. Davenport
Radiology Provisional Permit
License number
XP505744
Date granted
08/04/2014
Date expires
02/04/2015
Class
Radiology Provisional Permit
Status
Active
Address
Walton IN 46994
indianalicensing.org
ID 29207742
LAST UPDATED 2024-02-28 09:52:27 UTC

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