TRAVIS BECK LAUDER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036142821

License Status

NOT RENEWED

Business

Title

First Name

TRAVIS

Middle

BECK

Last Name

LAUDER

Business Name

TRAVIS BECK LAUDER MD

Original Issue Date

03/29/2017

Effective Date

06/06/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60657

County

WISCONSIN

Ever Disciplined

LastModifiedDate

01/14/2021