License holder summary

Richard T. Ellison, D.D.S. is a Radiology - Radiation Facility Dental licensed to practice in Indiana. The address on file for Richard T. Ellison, D.D.S. is 1602 West Jackson Street, Muncie IN 47303-4962. This licensed professional license is current. The license was granted 10/22/2004 and expired on 04/11/2016.

Indiana

Professional Licensing Agency

Richard T. Ellison, D.D.S.
Radiology - Radiation Facility Dental
License number
XF900259
Date granted
10/22/2004
Date expires
04/11/2016
Class
Radiology - Radiation Facility Dental
Status
Active
Address
1602 West Jackson Street, Muncie IN 47303-4962
indianalicensing.org
ID 24934845
LAST UPDATED 2024-05-02 12:49:15 UTC

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