License holder summary

Jack Ellis Slichenmyer is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Jack Ellis Slichenmyer is 36 PALOMINO COURT, Zionsville IN 46077-0156. This licensed professional license is not current. The license was granted 01/31/1986 and expired on 06/30/2007.

Indiana

Professional Licensing Agency

Jack Ellis Slichenmyer
Controlled Substance Registration - Physician
License number
01017829B
Date granted
01/31/1986
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Expired
Address
36 PALOMINO COURT, Zionsville IN 46077-0156
indianalicensing.org
ID 5936775
LAST UPDATED 2024-04-11 12:07:28 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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