License holder summary

Thomas Jerry Elliott is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Thomas Jerry Elliott is P.O. Box 178, 17 West Jackson Street, Cicero IN 46034. This licensed professional license is current. The license was granted 11/13/1986 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Thomas Jerry Elliott
Controlled Substance Registration - Dentist
License number
12008852B
Date granted
11/13/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
P.O. Box 178, 17 West Jackson Street, Cicero IN 46034
indianalicensing.org
ID 5086719
LAST UPDATED 2024-02-14 18:34:00 UTC

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