License holder summary

MR. MICHAEL RYAN DAVENPORT is a Physical Therapy Licensure Board - Physical Therapist Assistant licensed to practice in Idaho. The address on file for MR. MICHAEL RYAN DAVENPORT is CHUBBUCK ID 83202. This licensed professional license is current. The license was granted 05/20/2016 and expired on 01/17/2018.

Idaho

Division of Occupational and Professional Licenses

MR. MICHAEL RYAN DAVENPORT
Physical Therapy Licensure Board - Physical Therapist Assistant
License number
PTA - 4600
Date granted
05/20/2016
Date expires
01/17/2018
Class
Physical Therapy Licensure Board - Physical Therapist Assistant
Status
Current
Address
CHUBBUCK ID 83202
idaholicensing.com
ID 43733967
LAST UPDATED 2024-02-09 19:58:41 UTC

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