Travis Lee Gross

Controlled Substance Registration - Dentist

Indiana  12010738B   Active

This Indiana license is held by Travis Lee Gross. The license is currently active. It was granted on 07/06/2005 and expired on 03/01/2016

LICENSE DETAILS

  • License Number: 12010738B
  • Category: CSR-Dentist
  • Status: Active
  • Date Granted: 07/06/2005 (almost 20 years ago)
  • Expiry Date: 03/01/2016 (about 9 years ago)

LOCATIONS

A Address

Charlestown Crossings Family Dental, 9419 State Road 403, Charlestown IN 47111