MARK L TRAVIS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021001340

License Status

NOT RENEWED

Business

First Name

MARK L

Last Name

TRAVIS

Business Name

MARK L TRAVIS

Original Issue Date

08/23/1987

Effective Date

08/23/1987

Expiration Date

09/30/2004

City

FLORISSANT

State

Zip

63033

County

MISSOURI

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

10/17/2005