Jerry Wayne Travelstead
Controlled Substance Registration - Dentist
Indiana 12006433C Expired
This Indiana license was held by Jerry Wayne Travelstead. The license is no longer active. It was granted on 11/25/2002 and expired on 03/01/2008
LICENSE DETAILS
- License Number: 12006433C
- Category: CSR-Dentist
- Status: Expired
- Date Granted: 11/25/2002 (over 22 years ago)
- Expiry Date: 03/01/2008 (about 17 years ago)
LOCATIONS
A Address
1113 Indianapolis Rd., Greencastle IN 46135