TRAVIS MICHAEL LANGAN DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****04

License Status

NOT RENEWED

Business

Title

DPM

First Name

TRAVIS

Middle

MICHAEL

Last Name

LANGAN

Business Name

TRAVIS MICHAEL LANGAN DPM

Original Issue Date

04/05/2019

Effective Date

12/02/2020

Expiration Date

01/31/2023

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/31/2023