Travis Wayne Blalock
ExpiredCalifornia license A116875
License
- Licensed by
- Medical Board of California
- License number
- A116875
- Status
- Expired (Delinquent)
- First issued
- May 6, 2011
- Expired
- April 30, 2025
- License holder
- Travis Wayne Blalock
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
1186 Fairview Rd NE
Atlanta, GA 30306-4606
Atlanta, GA 30306-4606
Fulton County