Indiana
Professional Licensing Agency
Mitchell E. F. Travis
Controlled Substance Registration - Physician
License number
01043985B
Date granted
12/04/1997
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
DEKALB MEMORIAL HOSP DEPT OF RADIOLOGY, 1316 E SEVENTH ST P O BOX 542, AUBURN IN 46706
indianalicensing.org
ID 5819416
LAST UPDATED 2024-03-30 10:36:07 UTC
LAST UPDATED 2024-03-30 10:36:07 UTC
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