License holder summary

Lawrence Charles Ellis is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Lawrence Charles Ellis is 275 US Highway 30, Suite 260, Dyer IN 46311-1798. This licensed professional license is current. The license was granted 07/28/1997 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Lawrence Charles Ellis
Controlled Substance Registration - Dentist
License number
12009958B
Date granted
07/28/1997
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
275 US Highway 30, Suite 260, Dyer IN 46311-1798
indianalicensing.org
ID 5090108
LAST UPDATED 2024-03-16 07:14:03 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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