The holder whose full name is TRAVIS, PHILIP STANLEY,come from MOBILE AL,hold the Physician license(NO.01040412A) which status is Expired Non-Renewable.
| Name | TRAVIS, PHILIP STANLEY |
|---|---|
| License Number | 01040412A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | MOBILE |
| State | AL |