Indiana
Professional Licensing Agency
Jerry Wayne Travelstead
Controlled Substance Registration - Dentist
License number
12006433C
Date granted
11/25/2002
Date expires
03/01/2008
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
1113 Indianapolis Rd., Greencastle IN 46135
indianalicensing.org
ID 5098572
LAST UPDATED 2024-04-16 15:19:13 UTC
LAST UPDATED 2024-04-16 15:19:13 UTC
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