Wisconsin
Department of Safety and Professional Services
Davenport, Gordon
Medicine And Surgery
License number
12290-20
Date granted
01/13/1956
Date expires
10/31/2011
Class
Medicine And Surgery
Status
Expired
wisconsinmedicine.org
ID 12760416
LAST UPDATED 2026-03-17 18:35:46 UTC
LAST UPDATED 2026-03-17 18:35:46 UTC
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