License holder summary

EUGENE E ELLIS is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for EUGENE E ELLIS is 1209 WEST HARRISON, ELKHART IN 46516. This licensed professional license is not current. The license was granted 06/30/1986 and expired on 03/01/1994.

Indiana

Professional Licensing Agency

EUGENE E ELLIS
Controlled Substance Registration - Dentist
License number
12005012B
Date granted
06/30/1986
Date expires
03/01/1994
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
1209 WEST HARRISON, ELKHART IN 46516
indianalicensing.org
ID 5090662
LAST UPDATED 2024-03-21 13:31:54 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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