TRAVIS RICHARD LIDDELL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036172954

License Status

ACTIVE

Business

Title

First Name

TRAVIS

Middle

RICHARD

Last Name

LIDDELL

Business Name

TRAVIS RICHARD LIDDELL MD

Original Issue Date

12/05/2024

Effective Date

12/05/2024

Expiration Date

07/31/2026

City

SIOUX FALLS

State

Zip

57108

Ever Disciplined

LastModifiedDate

12/05/2024