TERRY ARTHUR TRAVIS MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****52

NOT RENEWED

N

TERRY ARTHUR

TRAVIS

MD

TERRY ARTHUR TRAVIS MD

01/01/1997

04/07/2011

07/31/2014

SPRINGFIELD

IL

62711

SANGAMON

II III IV V

N

04/05/2020