TRAVIS OWEN ABICHT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125055

License Status

NOT RENEWED

Business

Title

First Name

TRAVIS

Middle

OWEN

Last Name

ABICHT

Business Name

TRAVIS OWEN ABICHT MD

Original Issue Date

02/26/2010

Effective Date

04/16/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017