KRISTINA RACHELLE DAVENPORT

Idaho  LRT-617   Canceled

This Idaho license was held by KRISTINA RACHELLE DAVENPORT. The license is no longer active. It was granted on 04/22/1997 and expired on 06/30/2006

LICENSE DETAILS

  • License Number: LRT-617
  • Category: Board Of Medicine
  • Status: Canceled
  • Date Granted: 04/22/1997 (about 28 years ago)
  • Expiry Date: 06/30/2006 (almost 19 years ago)

LOCATIONS

A Residential

5821 N MILTON ST SPOKANE WA 99205