TRAVIS L BOAZ MD Medical Doctor License verification

Business Entity

INOPERATIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

INOPERATIVE

Business

First Name

TRAVIS

Middle

Last Name

BOAZ

Suffix

Business Name

TRAVIS L BOAZ MD

Original Issue Date

09/18/2019

Effective Date

07/09/2023

Expiration Date

07/31/2026

City

PHOENIX

State

Zip

85004

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/09/2023