MARK L TRAVIS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018427

License Status

INACTIVE

Business

First Name

MARK L

Last Name

TRAVIS

Business Name

MARK L TRAVIS

Original Issue Date

11/15/1982

Effective Date

06/22/2012

Expiration Date

09/30/2015

City

FLORISSANT

State

Zip

63033

County

MISSOURI

Ever Disciplined

LastModifiedDate

06/08/2015