License holder summary

SPENCER L DAVENPORT is a Board Of Medicine licensed to practice in Idaho. The address on file for SPENCER L DAVENPORT is 921 S 8TH AVE STOP 8621 POCATELLO ID 83209. This licensed professional license is not current. The license was granted 09/24/2009 and expired on 08/05/2011.

Idaho

Division of Occupational and Professional Licenses

SPENCER L DAVENPORT
Board Of Medicine
License number
PAT-733
Date granted
09/24/2009
Date expires
08/05/2011
Class
Board Of Medicine
Status
Expired
Address
921 S 8TH AVE STOP 8621 POCATELLO ID 83209
idaholicensing.com
ID 48338972
LAST UPDATED 2024-02-23 09:00:34 UTC

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