License holder summary

Nancy Ellen Phillips is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Nancy Ellen Phillips is 2230 N 11TH STREET, TERRE HAUTE IN 47804. This licensed professional license is not current. The license was granted 10/30/1987 and expired on 03/01/1990.

Indiana

Professional Licensing Agency

Nancy Ellen Phillips
Controlled Substance Registration - Dentist
License number
12008983B
Date granted
10/30/1987
Date expires
03/01/1990
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
2230 N 11TH STREET, TERRE HAUTE IN 47804
indianalicensing.org
ID 5125182
LAST UPDATED 2024-03-22 22:29:43 UTC

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