License holder summary

Jerry Wayne Travelstead is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Jerry Wayne Travelstead is 1113 Indianapolis Rd., Greencastle IN 46135. This licensed professional license is not current. The license was granted 11/25/2002 and expired on 03/01/2008.

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 2024-04-02 00:51:35 UTC

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