ROGER B TRAYCOFF MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

NOT RENEWED

Business

First Name

ROGER B

Last Name

TRAYCOFF

Suffix

Business Name

ROGER B TRAYCOFF MD

Original Issue Date

01/01/1997

Effective Date

05/25/2011

Expiration Date

07/31/2014

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020