Indiana
Professional Licensing Agency
Percita Loren Ellis
Physician
License number
01054490A
Date granted
06/28/2001
Date expires
10/31/2015
Class
Physician
Status
Active
Address
Lexington VA 24450-2252
indianalicensing.org
ID 6072027
LAST UPDATED 2026-03-27 18:52:42 UTC
LAST UPDATED 2026-03-27 18:52:42 UTC
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