License holder summary

TRAVIS W TICHENOR JR is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for TRAVIS W TICHENOR JR is 406 W CARTER AVE, JEFFERSONVILLE IN 47130. This licensed professional license is not current. The license was granted 07/31/1986 and expired on 07/31/1986.

Indiana

Professional Licensing Agency

TRAVIS W TICHENOR JR
Controlled Substance Registration - Dentist
License number
12004971B
Date granted
07/31/1986
Date expires
07/31/1986
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
406 W CARTER AVE, JEFFERSONVILLE IN 47130
indianalicensing.org
ID 5105577
LAST UPDATED 2024-02-08 12:37:14 UTC

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