License holder summary

Davenport, Jack Adam is a Advanced Practice Nurse Prescriber licensed to practice in Wisconsin. This nurse license is current. The license was granted 06/22/2015 and expired on 09/30/2016.

Wisconsin

Department of Safety and Professional Services

Davenport, Jack Adam
Advanced Practice Nurse Prescriber
License number
6408-33
Date granted
06/22/2015
Date expires
09/30/2016
Class
Advanced Practice Nurse Prescriber
Status
Active
nursingwisconsin.org
ID 36534727
LAST UPDATED 2024-05-05 22:58:25 UTC

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