Elizabeth Ann Ellis Rutherford

Controlled Substance Registration - Physician

Indiana  01058124B   Active

This Indiana license is held by Elizabeth Ann Ellis Rutherford. The license is currently active. It was granted on 10/14/2003 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01058124B
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 10/14/2003 (over 22 years ago)
  • Expiry Date: 10/31/2015 (over 10 years ago)

LOCATIONS

A Address

Marshall County OB/GYN, 1919 Lake Avenue, Ste 106, Plymouth IN 46563