TRAVIS L BOAZ MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107934

License Status

INACTIVE

Business

First Name

TRAVIS

Middle

Last Name

BOAZ

Suffix

Business Name

TRAVIS L BOAZ MD

Original Issue Date

10/01/2002

Effective Date

05/18/2020

Expiration Date

07/31/2023

City

SANTA MONICA

State

Zip

90405

Ever Disciplined

LastModifiedDate

07/09/2023