License holder summary

Ellis Pediatric Dentistry is a Radiology - Radiation Facility Dental licensed to practice in Indiana. The address on file for Ellis Pediatric Dentistry is 910 Averitt Road, Greenwood IN 46143. This licensed professional license is current. The license was granted 08/17/2005 and expired on 04/16/2015.

Indiana

Professional Licensing Agency

Ellis Pediatric Dentistry
Radiology - Radiation Facility Dental
License number
XF901082
Date granted
08/17/2005
Date expires
04/16/2015
Class
Radiology - Radiation Facility Dental
Status
Active
Address
910 Averitt Road, Greenwood IN 46143
indianalicensing.org
ID 24932750
LAST UPDATED 2024-02-06 19:47:28 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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