TRAVIS L BULLOCK MD - Medical Doctor License in Illinois | # 036119508

TRAVIS L BULLOCK MD

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036119508

License Status

ACTIVE

Business

N

First Name

TRAVIS

Middle

L

Last Name

BULLOCK

Suffix

MD

Business Name

TRAVIS L BULLOCK MD

Original Issue Date

10/10/2007

Effective Date

06/09/2023

Expiration Date

07/31/2026

State

IL

Ever Disciplined

N

LastModifiedDate

06/09/2023