License holder summary

DAVENPORT, TOM FOREST, DO is a Medical - Physician licensed to practice in Georgia. The address on file for DAVENPORT, TOM FOREST, DO is C/O MS I KRUSE | 42 BIRCH AVE, SHALIMAR 32579. This doctor license is not current. The license was granted 07/03/1920 and expired on 12/31/1987.

Georgia

Composite Medical Board

DAVENPORT, TOM FOREST, DO
Medical - Physician
License number
000960
Date granted
07/03/1920
Date expires
12/31/1987
Class
Medical - Physician
Status
Deceased
Address
C/O MS I KRUSE | 42 BIRCH AVE
georgiadoctors.net
ID 38037435
LAST UPDATED 2024-03-21 19:36:29 UTC

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