License holder summary

Steven Penn Ellinwood is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Steven Penn Ellinwood is 5725 Maplecrest Road, Suite 1, Fort Wayne IN 46835-3838. This licensed professional license is current. The license was granted 09/19/1985 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Steven Penn Ellinwood
Controlled Substance Registration - Dentist
License number
12008689B
Date granted
09/19/1985
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
5725 Maplecrest Road, Suite 1, Fort Wayne IN 46835-3838
indianalicensing.org
ID 5096038
LAST UPDATED 2024-04-21 14:51:18 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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