EDWARD CLAY TRAVIS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026392

License Status

EXPIRED

Business

First Name

EDWARD CLAY

Last Name

TRAVIS

Suffix

Business Name

EDWARD CLAY TRAVIS MD

Original Issue Date

05/03/1991

Effective Date

05/03/1991

Expiration Date

06/30/1994

City

PEORIA

State

Zip

61603

County

PEORIA

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006