License holder summary

Mark Allen Ellis is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Mark Allen Ellis is 910 Averitt Road, Greenwood IN 46143. This licensed professional license is current. The license was granted 04/25/2005 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Mark Allen Ellis
Controlled Substance Registration - Dentist
License number
12010547B
Date granted
04/25/2005
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
910 Averitt Road, Greenwood IN 46143
indianalicensing.org
ID 5099312
LAST UPDATED 2024-02-07 19:02:57 UTC

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