License holder summary

RALPH E LLEWELLYN is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for RALPH E LLEWELLYN is 201 NORTH HUNT STREET, TERRE HAUTE IN 47803. This licensed professional license is not current. The license was granted 05/31/1986 and expired on 03/01/2002.

Indiana

Professional Licensing Agency

RALPH E LLEWELLYN
Controlled Substance Registration - Dentist
License number
12005038B
Date granted
05/31/1986
Date expires
03/01/2002
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
201 NORTH HUNT STREET, TERRE HAUTE IN 47803
indianalicensing.org
ID 5125250
LAST UPDATED 2024-04-09 13:49:49 UTC

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