JACOB ELIJAH TRAMMEL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125080692

License Status

CANCELLED

Business

Title

First Name

JACOB

Middle

ELIJAH

Last Name

TRAMMEL

Business Name

JACOB ELIJAH TRAMMEL MD

Original Issue Date

06/26/2022

Effective Date

06/26/2022

Expiration Date

06/25/2025

City

SPRINGFIELD

State

Zip

62701

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

04/29/2025