License holder summary

Michael Vanice Ellis is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Michael Vanice Ellis is P.O. Box 38, 305 North Meridian Street, Holland IN 47541. This licensed professional license is current. The license was granted 04/17/1989 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Michael Vanice Ellis
Controlled Substance Registration - Dentist
License number
12006819B
Date granted
04/17/1989
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
P.O. Box 38, 305 North Meridian Street, Holland IN 47541
indianalicensing.org
ID 5101139
LAST UPDATED 2024-04-06 08:36:17 UTC

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