The holder whose full name is DAVENPORT, MICHEAL K,come from Cold Spring KY,hold the Physician license(NO.01053777A) which status is Expired Non-Renewable.
| Name | DAVENPORT, MICHEAL K |
|---|---|
| License Number | 01053777A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Cold Spring |
| State | KY |