License holder summary

Jack Ellis Showley is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Jack Ellis Showley is 8140 KNUE ROAD #204, INDIANAPOLIS IN 46250. This licensed professional license is not current. The license was granted 01/31/1986 and expired on 03/01/2006.

Indiana

Professional Licensing Agency

Jack Ellis Showley
Controlled Substance Registration - Dentist
License number
12006233B
Date granted
01/31/1986
Date expires
03/01/2006
Class
Controlled Substance Registration - Dentist
Status
Expired Non-Renewable
Address
8140 KNUE ROAD #204, INDIANAPOLIS IN 46250
indianalicensing.org
ID 5102620
LAST UPDATED 2024-03-05 15:43:12 UTC

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