TRAVIS WOLFNER DUM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

NOT RENEWED

Business

Title

First Name

TRAVIS

Middle

WOLFNER

Last Name

DUM

Business Name

TRAVIS WOLFNER DUM MD

Original Issue Date

03/02/2020

Effective Date

03/02/2020

Expiration Date

09/30/2020

City

SAINT LOUIS

State

Zip

63131

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021