DAVID EARL DAVENPORT
Idaho SPHY-5335 Expired
This Idaho license was held by DAVID EARL DAVENPORT. The license is no longer active. It was granted on 03/05/1988 and expired on 12/31/2004
LICENSE DETAILS
- License Number: SPHY-5335
- Category: Board Of Medicine
- Status: Expired
- Date Granted: 03/05/1988 (over 36 years ago)
- Expiry Date: 12/31/2004 (over 19 years ago)
LOCATIONS
A Residential
700 W Ironwood Dr Suite 130 COEUR D ALENE ID 83814