TRAVIS JOHN PTACEK M.D. Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036179184

License Status

ACTIVE

Business

Title

M.D.

First Name

TRAVIS

Middle

JOHN

Last Name

PTACEK

Business Name

TRAVIS JOHN PTACEK M.D.

Original Issue Date

03/09/2026

Effective Date

03/09/2026

Expiration Date

07/31/2026

City

RAPID CITY

State

Zip

57702

Ever Disciplined

LastModifiedDate

03/09/2026