License holder summary

Theresa Ann Travis is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Theresa Ann Travis is 2516 Q Street #B, Bedford IN 47421. This licensed professional license is current. The license was granted 07/06/1988 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Theresa Ann Travis
Controlled Substance Registration - Physician
License number
01036752B
Date granted
07/06/1988
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
2516 Q Street #B, Bedford IN 47421
indianalicensing.org
ID 5822665
LAST UPDATED 2026-05-11 05:28:04 UTC

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