TRAVIS KENDALL HALDEMAN DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099030

License Status

NOT RENEWED

Business

First Name

TRAVIS

Middle

KENDALL

Last Name

HALDEMAN

Suffix

Business Name

TRAVIS KENDALL HALDEMAN DO

Original Issue Date

09/11/1998

Effective Date

01/17/2018

Expiration Date

09/30/2020

City

EVERGREEN PARK

State

Zip

60805

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021