License holder summary

Dustin Clay Ellis is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Dustin Clay Ellis is Sullivan Family Practice, LLC, 2229 Mary Sherman, PO Box 230, Sullivan IN 47882. This licensed professional license is current. The license was granted 10/22/2008 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Dustin Clay Ellis
Controlled Substance Registration - Physician
License number
01065943B
Date granted
10/22/2008
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Sullivan Family Practice, LLC, 2229 Mary Sherman, PO Box 230, Sullivan IN 47882
indianalicensing.org
ID 5923322
LAST UPDATED 2026-05-13 02:58:47 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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