License holder summary

KRISTINA RACHELLE DAVENPORT is a Board Of Medicine licensed to practice in Idaho. The address on file for KRISTINA RACHELLE DAVENPORT is 5821 N MILTON ST SPOKANE WA 99205. This licensed professional license is not current. The license was granted 04/22/1997 and expired on 06/30/2006.

Idaho

Division of Occupational and Professional Licenses

KRISTINA RACHELLE DAVENPORT
Board Of Medicine
License number
LRT-617
Date granted
04/22/1997
Date expires
06/30/2006
Class
Board Of Medicine
Status
Canceled
Address
5821 N MILTON ST SPOKANE WA 99205
idaholicensing.com
ID 48338966
LAST UPDATED 2026-05-10 22:22:15 UTC

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