License holder summary

Travis Lane Bauer is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Travis Lane Bauer is 420 South Indiana, Mooresville IN 46158. This licensed professional license is current. The license was granted 04/30/1986 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Travis Lane Bauer
Controlled Substance Registration - Dentist
License number
12006080B
Date granted
04/30/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
420 South Indiana, Mooresville IN 46158
indianalicensing.org
ID 5113398
LAST UPDATED 2024-03-03 03:09:32 UTC

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