Indiana
Professional Licensing Agency
Richard D. Ellsworth, DDS, PC
Dentistry Board - Dental Corporation
License number
54001588A
Date granted
12/07/2007
Date expires
01/31/2016
Class
Dentistry Board - Dental Corporation
Status
Active
Address
150 Professional Court, Suite A, Lafayette IN 47905-5153
indianalicensing.org
ID 24746144
LAST UPDATED 2024-02-29 09:45:27 UTC
LAST UPDATED 2024-02-29 09:45:27 UTC
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