Michael Davenport
Physician
Indiana 01067595A Active
This Indiana license is held by Michael Davenport. The license is currently active. It was granted on 12/10/2009 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01067595A
- Category: Physician
- Status: Active
- Date Granted: 12/10/2009 (over 15 years ago)
- Expiry Date: 10/31/2015 (over 9 years ago)
LOCATIONS
A Address
Gary IN 46402
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