Theresa Ann Travis
Controlled Substance Registration - Physician
Indiana 01036752B Active
This Indiana license is held by Theresa Ann Travis. The license is currently active. It was granted on 07/06/1988 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01036752B
- Category: CSR-Physician
- Status: Active
- Date Granted: 07/06/1988 (almost 36 years ago)
- Expiry Date: 10/31/2015 (over 8 years ago)
LOCATIONS
A Address
2516 Q Street #B, Bedford IN 47421
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