TRAVIS R JAMESON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057806

License Status

CANCELLED

Business

Title

First Name

TRAVIS

Middle

Last Name

JAMESON

Business Name

TRAVIS R JAMESON MD

Original Issue Date

06/26/2010

Effective Date

06/26/2010

Expiration Date

06/25/2013

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/17/2010