TRAVIS GRAHAM PETRICEK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036156249

License Status

ACTIVE

Business

Title

First Name

TRAVIS

Middle

GRAHAM

Last Name

PETRICEK

Business Name

TRAVIS GRAHAM PETRICEK MD

Original Issue Date

03/24/2021

Effective Date

06/20/2023

Expiration Date

07/31/2026

City

ELIZABETH CITY

State

Zip

27909

Ever Disciplined

LastModifiedDate

06/20/2023