Indiana
Professional Licensing Agency
John Gerald Ellison
Controlled Substance Registration - Dentist
License number
12006937B
Date granted
06/30/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
1658 Washington Ave., Vincennes IN 47591
indianalicensing.org
ID 5126676
LAST UPDATED 2024-01-23 06:06:43 UTC
LAST UPDATED 2024-01-23 06:06:43 UTC
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