Michael Chester Travenner, Jr.
Controlled Substance Registration - Dentist
Indiana 12007530C Expired
This Indiana license was held by Michael Chester Travenner, Jr.. The license is no longer active. It was granted on 04/14/1988 and expired on 03/01/1998
LICENSE DETAILS
- License Number: 12007530C
- Category: CSR-Dentist
- Status: Expired
- Date Granted: 04/14/1988 (about 37 years ago)
- Expiry Date: 03/01/1998 (over 27 years ago)
LOCATIONS
A Address
EXECUTIVE PLAZA NORTH, 600 VALE PARK ROAD, VALPARAISO IN 46383