Davenport, Jason R
Medicine And Surgery
Wisconsin 56755-20 Deceased
This Wisconsin license was held by Davenport, Jason R. The license is no longer active. It was granted on 02/03/2012 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 56755-20
- Category: Medicine And Surgery
- Status: Deceased
- Date Granted: 02/03/2012 (over 13 years ago)
- Expiry Date: 10/31/2015 (over 9 years ago)