Indiana
Professional Licensing Agency
Travis DeWayne Hargis
Controlled Substance Registration-Physician Assistant
License number
10001181B
Date granted
09/27/2011
Date expires
06/30/2014
Class
Controlled Substance Registration-Physician Assistant
Status
Expired
Address
1500 N Ritter Avenue, Indianapolis IN 46219
indianalicensing.org
ID 8387533
LAST UPDATED 2024-04-01 12:45:49 UTC
LAST UPDATED 2024-04-01 12:45:49 UTC
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