Alaska
Division of Corporations, Business and Professional Licensing
JERRY M. DAVENPORT
Medical - Licensed Osteopathic Physician
License number
4105
Date granted
10/06/1998
Date expires
12/31/2014
Class
Medical - Licensed Osteopathic Physician
Status
Licensed
Address
9223 STONE RIDGE CIRCLE SANDY UT 84093
alaskalicensing.com
ID 20391192
LAST UPDATED 2024-02-19 13:37:37 UTC
LAST UPDATED 2024-02-19 13:37:37 UTC
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