ROGER B TRAYCOFF MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036051951

License Status

NOT RENEWED

Business

First Name

ROGER B

Last Name

TRAYCOFF

Suffix

Business Name

ROGER B TRAYCOFF MD

Original Issue Date

09/12/1975

Effective Date

06/12/2017

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/14/2021