TRAVIS L BOAZ MD
Physician/surgeon


Address: 530 E Mcdowell Rd Ste 107-123, Phoenix, AZ 85004-1549

TRAVIS L BOAZ MD (Credential# 558308) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2020. The license expiration date date is July 31, 2021. The license status is ACTIVE.

Business Overview

TRAVIS L BOAZ MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.040725. The credential type is physician/surgeon. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 530 E Mcdowell Rd Ste 107-123, Phoenix, AZ 85004-1549. The current status is active.

Basic Information

Licensee Name TRAVIS L BOAZ MD
Credential ID 558308
Credential Number 1.040725
Credential Type Physician/Surgeon
Business Address 530 E Mcdowell Rd Ste 107-123
Phoenix
AZ 85004-1549
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2002-08-01
Effective Date 2020-08-01
Expiration Date 2021-07-31
Refresh Date 2020-05-18

Other licenses

ID Credential Code Credential Type Issue Term Status
535644 CSP.0045667 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2009-06-22 2019-03-01 - 2021-02-28 ACTIVE

Office Location

Street Address 530 E MCDOWELL RD STE 107-123
City PHOENIX
State AZ
Zip Code 85004-1549

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Richard M Hasson 530 E Mcdowell Rd Ste 107-123, Phoenix, AZ 85004-1549 Physician/surgeon 2020-03-01 ~ 2021-02-28

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Ryan W Lange 1 N. Central Ave., Phoenix, AZ 85004 Home Improvement Contractor 2019-07-23 ~ 2019-11-30
Candice Rae Leden 600 N 4th St, Phoenix, AZ 85004 Licensed Practical Nurse 2011-12-01 ~ 2012-11-30
Robert J Penny 445 N. 5th Street, Phoenix, AZ 85004 Physician/surgeon 2010-03-01 ~ 2011-02-28
Mountain States Atlantic 2001 N. 3rd Street, Phoenix, AZ 85004 Asbestos Contractor 1995-07-21 ~ 1996-07-31
John P Riley 385 East Coronado Rd, Phoenix, AZ 85004 Registered Nurse 1999-02-08 ~ 2000-01-31
Dan A Panessa 2323 N Central Ave Phb, Phoenix, AZ 85004 Plumbing & Piping Limited Contractor 1998-11-01 ~ 1999-10-31
Ronald Mcdonald House Charities of Central and Northern Arizona Inc 501 E Roanoke Ave, Phoenix, AZ 85004-1013 Public Charity 2019-12-01 ~ 2020-11-30
Michael L Haake 2333 N Central Ave, Phoenix, AZ 85004-1352 Architect 2014-09-30 ~ 2015-07-31
Perini Building Co Inc · Gco.00616 360 E Coronado Rd, Phoenix, AZ 85004-1524 Major Contractor 2009-07-01 ~ 2010-06-30
Sheila Marie Taylor 119 E Palm Ln, Phoenix, AZ 85004-1530 Master's Level Social Worker 2020-03-30 ~ 2020-11-30
Find all Licenses in zip 85004

Competitor

Search similar business entities

City PHOENIX
Zip Code 85004
License Type Physician/Surgeon
License Type + County Physician/Surgeon + PHOENIX

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Improve Information

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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