Indiana
Professional Licensing Agency
Jon G. Ellison
Controlled Substance Registration - Physician
License number
01024932B
Date granted
07/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
407 E 22nd. Street, Huntingburg IN 47542
indianalicensing.org
ID 5868331
LAST UPDATED 2024-02-17 05:50:03 UTC
LAST UPDATED 2024-02-17 05:50:03 UTC
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