Indiana
Professional Licensing Agency
Brent L. Ellis, D.D.S., P.C.
Dentistry Board - Dental Corporation
License number
54001046A
Date granted
06/12/1997
Date expires
01/31/2016
Class
Dentistry Board - Dental Corporation
Status
Active
Address
STATE ROAD 54 EAST, POST OFFICE BOX 635, LINTON IN 47441
indianalicensing.org
ID 24746307
LAST UPDATED 2024-04-04 10:26:42 UTC
LAST UPDATED 2024-04-04 10:26:42 UTC
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