SHELBY LEE TRAVIS DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125086362

License Status

ACTIVE

Business

Title

First Name

SHELBY

Middle

LEE

Last Name

TRAVIS

Business Name

SHELBY LEE TRAVIS DO

Original Issue Date

07/01/2025

Effective Date

07/01/2025

Expiration Date

06/30/2028

City

PEORIA

State

Zip

61605

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

05/01/2025