MICHAEL P TRAVIS - Dentist License in Missouri | # 31*****29

MICHAEL P TRAVIS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****29

License Status

NOT RENEWED

Business

N

First Name

MICHAEL

Middle

P

Last Name

TRAVIS

Business Name

MICHAEL P TRAVIS

Original Issue Date

04/21/2017

Effective Date

04/21/2017

Expiration Date

09/30/2018

State

MO

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

10/31/2018