LICENSE SUBCATEGORY
CSR-Dentist
111
Dental Hygiene Intern Permit
7
Dental Intern Permit
1
STATUSES
Active
3,113
Revoked
2,334
Expired
13
Surrendered
9
Superceded
5
Expired Non-Renewable
3
Suspended
Jerry Wayne Travelstead
Indiana (Versailles) - Controlled Substance Registration - Dentist Superceded