License holder summary

Joseph Ellsworth Ellis is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Joseph Ellsworth Ellis is 305 North Meridian, Holland IN 47541. This licensed professional license is not current. The license was granted 06/30/1985 and expired on 03/01/2012.

Indiana

Professional Licensing Agency

Joseph Ellsworth Ellis
Controlled Substance Registration - Dentist
License number
12006096B
Date granted
06/30/1985
Date expires
03/01/2012
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
305 North Meridian, Holland IN 47541
indianalicensing.org
ID 5101133
LAST UPDATED 2024-04-24 18:02:34 UTC

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