License holder summary

RANDY ELLIS MD INC is a Medical Licensing Board - Medical Corporation licensed to practice in Indiana. The address on file for RANDY ELLIS MD INC is 12220 KINGFISHER DRIVE, CROWN POINT IN 46307. This licensed professional license is not current. The license was granted 11/14/1980 and expired on 01/31/1987.

Indiana

Professional Licensing Agency

RANDY ELLIS MD INC
Medical Licensing Board - Medical Corporation
License number
50001878A
Date granted
11/14/1980
Date expires
01/31/1987
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
12220 KINGFISHER DRIVE, CROWN POINT IN 46307
indianalicensing.org
ID 24825269
LAST UPDATED 2024-02-28 01:08:33 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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