License holder summary

Michael Davenport is a Physician licensed to practice in Indiana. The address on file for Michael Davenport is Gary IN 46402. This licensed professional license is current. The license was granted 12/10/2009 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Michael Davenport
Physician
License number
01067595A
Date granted
12/10/2009
Date expires
10/31/2015
Class
Physician
Status
Active
Address
Gary IN 46402
indianalicensing.org
ID 6055976
LAST UPDATED 2024-02-14 22:56:45 UTC

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