TRAVIS DANIEL KRUSE MD - Medical Doctor License in Nebraska | # 036123408

TRAVIS DANIEL KRUSE MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036123408

License Status

NOT RENEWED

Business

N

Title

MD

First Name

TRAVIS

Middle

DANIEL

Last Name

KRUSE

Business Name

TRAVIS DANIEL KRUSE MD

Original Issue Date

05/12/2009

Effective Date

05/12/2009

Expiration Date

07/31/2011

State

NE

Ever Disciplined

N

LastModifiedDate

11/14/2011