Travis Anthony Richardson
Controlled Substance Registration - Physician
Indiana 01049572B Active
This Indiana license is held by Travis Anthony Richardson. The license is currently active. It was granted on 12/06/2004 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01049572B
- Category: CSR-Physician
- Status: Active
- Date Granted: 12/06/2004 (over 20 years ago)
- Expiry Date: 10/31/2015 (over 9 years ago)
LOCATIONS
A Address
American Health Network, 1115 N Ronald Reagan Pkwy Suite 100, Avon IN 46123
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