License holder summary

Travis Anthony Richardson is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Travis Anthony Richardson is American Health Network, 1115 N Ronald Reagan Pkwy Suite 100, Avon IN 46123. This licensed professional license is current. The license was granted 12/06/2004 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Travis Anthony Richardson
Controlled Substance Registration - Physician
License number
01049572B
Date granted
12/06/2004
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
American Health Network, 1115 N Ronald Reagan Pkwy Suite 100, Avon IN 46123
indianalicensing.org
ID 5820776
LAST UPDATED 2024-02-15 12:41:52 UTC

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