License holder summary

PHILIP R DAVENPORT, JR is a Nurse Registered & Licensed Practical - Nurse Anesthetist licensed to practice in Michigan. The address on file for PHILIP R DAVENPORT, JR is Bay St Louis, MS 39520.

Michigan

Department of Licensing and Regulation

PHILIP R DAVENPORT, JR
Nurse Registered & Licensed Practical - Nurse Anesthetist
License number
4704129140
Date expires
03/31/1994
Class
Nurse Registered & Licensed Practical - Nurse Anesthetist
Status
Lapsed
Address
Bay St Louis, MS 39520
michiganlicensing.org
ID 25851300
LAST UPDATED 2024-04-22 02:31:13 UTC

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