Indiana
Professional Licensing Agency
Travis Lee Gross
Controlled Substance Registration - Dentist
License number
12010738B
Date granted
07/06/2005
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Charlestown Crossings Family Dental, 9419 State Road 403, Charlestown IN 47111
indianalicensing.org
ID 5086354
LAST UPDATED 2024-03-12 05:28:55 UTC
LAST UPDATED 2024-03-12 05:28:55 UTC
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