License holder summary

Stephanie Marie Ellis is a Osteopathic Physician licensed to practice in Indiana. The address on file for Stephanie Marie Ellis is Lebanon OH 45036. This licensed professional license is current. The license was granted 08/22/2012 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Stephanie Marie Ellis
Osteopathic Physician
License number
02004074A
Date granted
08/22/2012
Date expires
10/31/2015
Class
Osteopathic Physician
Status
Active
Address
Lebanon OH 45036
indianalicensing.org
ID 6015137
LAST UPDATED 2024-03-28 17:45:40 UTC

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