License holder summary

Anna F. Ellis is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Anna F. Ellis is Idaville IN 47950. This licensed professional license is not current. The license was granted 02/12/2013 and expired on 08/12/2013.

Indiana

Professional Licensing Agency

Anna F. Ellis
Radiology Provisional Permit
License number
XP504517
Date granted
02/12/2013
Date expires
08/12/2013
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Idaville IN 47950
indianalicensing.org
ID 8492098
LAST UPDATED 2024-04-30 12:30:07 UTC

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