MITCHELL E F TRAVIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036135127

License Status

ACTIVE

Business

Title

First Name

MITCHELL

Middle

E F

Last Name

TRAVIS

Business Name

MITCHELL E F TRAVIS MD

Original Issue Date

04/24/2014

Effective Date

04/10/2023

Expiration Date

07/31/2026

City

FORT WAYNE

State

Zip

46845

County

INDIANA

Ever Disciplined

LastModifiedDate

04/10/2023