Indiana
Professional Licensing Agency
Travis Edward Clegg
Controlled Substance Registration - Physician
License number
01067694B
Date granted
03/09/2012
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
King's Daughters' Health, 1373 East State Road 62, Madison IN 47250
indianalicensing.org
ID 5887534
LAST UPDATED 2024-06-18 13:41:39 UTC
LAST UPDATED 2024-06-18 13:41:39 UTC
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