TRAVIS DANIEL KRUSE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036123408

License Status

NOT RENEWED

Business

Title

First Name

TRAVIS

Middle

DANIEL

Last Name

KRUSE

Business Name

TRAVIS DANIEL KRUSE MD

Original Issue Date

05/12/2009

Effective Date

05/12/2009

Expiration Date

07/31/2011

City

OMAHA

State

Zip

68116

County

NEBRASKA

Ever Disciplined

LastModifiedDate

11/14/2011