Indiana
Professional Licensing Agency
Robert Paul Ellison
Controlled Substance Registration - Dentist
License number
12006593B
Date granted
06/30/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
8220 Tranquilla Place, Fort Wayne IN 46815
indianalicensing.org
ID 5095796
LAST UPDATED 2024-02-21 21:45:44 UTC
LAST UPDATED 2024-02-21 21:45:44 UTC
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