Lea Ann Davenport
Controlled Substance Registration - Dentist
Indiana 12010825B Expired
This Indiana license was held by Lea Ann Davenport. The license is no longer active. It was granted on 07/13/2006 and expired on 03/01/2014
LICENSE DETAILS
- License Number: 12010825B
- Category: CSR-Dentist
- Status: Expired
- Date Granted: 07/13/2006 (almost 18 years ago)
- Expiry Date: 03/01/2014 (about 10 years ago)
LOCATIONS
A Address
2345 West Franklin Ste. 101B, Evansville IN 47712