TRAVIS A MEREDITH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****34

License Status

CANCELLED

Business

First Name

TRAVIS A

Last Name

MEREDITH

Suffix

Business Name

TRAVIS A MEREDITH MD

Original Issue Date

06/18/1993

Effective Date

06/18/1993

Expiration Date

07/31/2002

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006