License holder summary

TERRY EVERT DAVENPORT is a Board Of Medicine licensed to practice in Idaho. The address on file for TERRY EVERT DAVENPORT is 56 Cassandra Hills Rd SAINT MARIES ID 83861. This licensed professional license is not current. The license was granted 02/28/2011 and expired on 02/02/2015.

Idaho

Division of Occupational and Professional Licenses

TERRY EVERT DAVENPORT
Board Of Medicine
License number
DPHY-0130
Date granted
02/28/2011
Date expires
02/02/2015
Class
Board Of Medicine
Status
Canceled
Address
56 Cassandra Hills Rd SAINT MARIES ID 83861
idaholicensing.com
ID 48338974
LAST UPDATED 2024-05-02 23:31:09 UTC

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