EDWARD CLAY TRAVIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

ACTIVE

Business

First Name

EDWARD CLAY

Last Name

TRAVIS

Suffix

Business Name

EDWARD CLAY TRAVIS MD

Original Issue Date

07/22/1993

Effective Date

07/09/2023

Expiration Date

07/31/2026

City

DU QUOIN

State

Zip

62832

County

PERRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/09/2023