Jerry Wayne Travelstead
Controlled Substance Registration - Dentist
Indiana 12006433B Superceded
This Indiana license was held by Jerry Wayne Travelstead. The license is no longer active. It was granted on 11/18/1994 and expired on 03/01/2002
LICENSE DETAILS
- License Number: 12006433B
- Category: CSR-Dentist
- Status: Superceded
- Date Granted: 11/18/1994 (over 30 years ago)
- Expiry Date: 03/01/2002 (about 23 years ago)
LOCATIONS
A Address
4458 U S 421 SOUTH, VERSAILLES IN 47042