TRAVIS JAY CANOVA DO - Medical Doctor License in Illinois | # 125065780

TRAVIS JAY CANOVA DO

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065780

License Status

EXPIRED

Business

N

Title

DO

First Name

TRAVIS

Middle

JAY

Last Name

CANOVA

Business Name

TRAVIS JAY CANOVA DO

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2019

State

IL

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

N

LastModifiedDate

10/02/2019