TRAVIS DEAN TERRELL MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109166

License Status

INACTIVE

Business

First Name

TRAVIS

Middle

DEAN

Last Name

TERRELL

Suffix

Business Name

TRAVIS DEAN TERRELL MD

Original Issue Date

05/02/2003

Effective Date

05/26/2011

Expiration Date

07/31/2014

City

CERESCO

State

Zip

49033

County

MICHIGAN

Ever Disciplined

LastModifiedDate

04/08/2014