TRAVIS JOHN MAIERS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

NOT RENEWED

Business

Title

First Name

TRAVIS

Middle

JOHN

Last Name

MAIERS

Business Name

TRAVIS JOHN MAIERS MD

Original Issue Date

08/20/2020

Effective Date

08/20/2020

Expiration Date

07/31/2023

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023