Indiana
Professional Licensing Agency
Julius Rodney Ellis
Controlled Substance Registration - Physician
License number
01052711B
Date granted
07/31/2000
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Med Spa, 601 Kieffer Road, Michigan City IN 46360
indianalicensing.org
ID 5892936
LAST UPDATED 2024-03-26 09:02:58 UTC
LAST UPDATED 2024-03-26 09:02:58 UTC
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