PHILIP RAY TRAVIS DMD - Dentist License in Kentucky | # 019026333

PHILIP RAY TRAVIS DMD

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026333

License Status

INACTIVE

Business

N

First Name

PHILIP

Middle

RAY

Last Name

TRAVIS

Suffix

DMD

Business Name

PHILIP RAY TRAVIS DMD

Original Issue Date

01/15/2004

Effective Date

08/21/2015

Expiration Date

09/30/2018

State

KY

Ever Disciplined

N

LastModifiedDate

06/07/2018