License holder summary

Randy Sue Ellis is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Randy Sue Ellis is 12220 KINGFISHER DRIVE, CROWN POINT IN 46307. This licensed professional license is not current. The license was granted 07/31/1986 and expired on 06/30/1987.

Indiana

Professional Licensing Agency

Randy Sue Ellis
Controlled Substance Registration - Physician
License number
01029270B
Date granted
07/31/1986
Date expires
06/30/1987
Class
Controlled Substance Registration - Physician
Status
Expired
Address
12220 KINGFISHER DRIVE, CROWN POINT IN 46307
indianalicensing.org
ID 5841810
LAST UPDATED 2026-06-06 10:26:51 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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