License holder summary

Travis Lee Gross is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Travis Lee Gross is Charlestown Crossings Family Dental, 9419 State Road 403, Charlestown IN 47111. This licensed professional license is current. The license was granted 07/06/2005 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Travis Lee Gross
Controlled Substance Registration - Dentist
License number
12010738B
Date granted
07/06/2005
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Charlestown Crossings Family Dental, 9419 State Road 403, Charlestown IN 47111
indianalicensing.org
ID 5086354
LAST UPDATED 2024-02-13 05:13:24 UTC

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