License holder summary

Eric Andrew Traister is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Eric Andrew Traister is Sports Medicine Institute, 611 East Douglas Road, Suite 137, Mishawaka IN 46545. This licensed professional license is current. The license was granted 06/07/2013 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Eric Andrew Traister
Controlled Substance Registration - Physician
License number
01072422B
Date granted
06/07/2013
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Sports Medicine Institute, 611 East Douglas Road, Suite 137, Mishawaka IN 46545
indianalicensing.org
ID 5894900
LAST UPDATED 2024-04-15 23:18:07 UTC

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