Indiana
Professional Licensing Agency
DOUGLAS W ELLIOTT
Controlled Substance Registration - Physician
License number
01032058B
Date granted
04/17/1985
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
21764 Omega Drive, Goshen IN 46528
indianalicensing.org
ID 5858578
LAST UPDATED 2024-03-21 01:25:58 UTC
LAST UPDATED 2024-03-21 01:25:58 UTC
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