License holder summary

J Elizabeth Ellery MacDonell is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for J Elizabeth Ellery MacDonell is 1515 N. Madison Avenue, Anderson IN 46011. This licensed professional license is current. The license was granted 05/12/1994 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

J Elizabeth Ellery MacDonell
Controlled Substance Registration - Physician
License number
01042439B
Date granted
05/12/1994
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1515 N. Madison Avenue, Anderson IN 46011
indianalicensing.org
ID 5817297
LAST UPDATED 2024-03-19 19:57:43 UTC

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