License holder summary

Nels Owen Ewoldsen is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Nels Owen Ewoldsen is 8775 East Lake Street, Rockville IN 47872. This licensed professional license is not current. The license was granted 06/30/1986 and expired on 03/01/2000.

Indiana

Professional Licensing Agency

Nels Owen Ewoldsen
Controlled Substance Registration - Dentist
License number
12007599B
Date granted
06/30/1986
Date expires
03/01/2000
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
8775 East Lake Street, Rockville IN 47872
indianalicensing.org
ID 5120481
LAST UPDATED 2024-02-23 10:00:06 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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