License holder summary

Randy T. Travis is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Randy T. Travis is 8966 Ruffian Lane, Newburgh IN 47630. This licensed professional license is current. The license was granted 11/06/2000 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Randy T. Travis
Controlled Substance Registration - Dentist
License number
12010320B
Date granted
11/06/2000
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
8966 Ruffian Lane, Newburgh IN 47630
indianalicensing.org
ID 5116491
LAST UPDATED 2024-04-10 00:25:54 UTC

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