License holder summary

Lea Ann Davenport is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Lea Ann Davenport is 2345 West Franklin Ste. 101B, Evansville IN 47712. This licensed professional license is not current. The license was granted 07/13/2006 and expired on 03/01/2014.

Indiana

Professional Licensing Agency

Lea Ann Davenport
Controlled Substance Registration - Dentist
License number
12010825B
Date granted
07/13/2006
Date expires
03/01/2014
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
2345 West Franklin Ste. 101B, Evansville IN 47712
indianalicensing.org
ID 5092360
LAST UPDATED 2024-03-01 13:04:18 UTC

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