TRAVIS S HENRY Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036126639

License Status

NOT RENEWED

Business

First Name

TRAVIS

Middle

Last Name

HENRY

Business Name

TRAVIS S HENRY

Original Issue Date

09/09/2010

Effective Date

04/22/2014

Expiration Date

07/31/2017

City

ATLANTA

State

Zip

30322

County

GEORGIA

Ever Disciplined

LastModifiedDate

11/01/2017