License holder summary

Mark Stephen Travis is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Mark Stephen Travis is JMH Health Affiliates; Medical Staff, 1125 W. Jefferson Street, Franklin IN 46131. This licensed professional license is not current. The license was granted 10/14/2005 and expired on 06/30/2011.

Indiana

Professional Licensing Agency

Mark Stephen Travis
Controlled Substance Registration - Physician
License number
01061315B
Date granted
10/14/2005
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Expired
Address
JMH Health Affiliates; Medical Staff, 1125 W. Jefferson Street, Franklin IN 46131
indianalicensing.org
ID 5855526
LAST UPDATED 2024-03-06 18:02:06 UTC

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