TRAVIS C ULMER 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

Title

First Name

TRAVIS

Middle

Last Name

ULMER

Business Name

TRAVIS C ULMER MD

Original Issue Date

05/06/2009

Effective Date

07/27/2011

Expiration Date

07/31/2014

City

JOLIET

State

Zip

60435

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

11/17/2014