TRAVIS ANDRE GAYLES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131329

License Status

NOT RENEWED

Business

Title

First Name

TRAVIS

Middle

ANDRE

Last Name

GAYLES

Business Name

TRAVIS ANDRE GAYLES MD

Original Issue Date

09/07/2012

Effective Date

04/23/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017