Jack Ellis Showley
Controlled Substance Registration - Dentist
Indiana 12006233B Expired Non-Renewable
This Indiana license was held by Jack Ellis Showley. The license is no longer active. It was granted on 01/31/1986 and expired on 03/01/2006
LICENSE DETAILS
- License Number: 12006233B
- Category: CSR-Dentist
- Status: Expired Non-Renewable
- Date Granted: 01/31/1986 (over 39 years ago)
- Expiry Date: 03/01/2006 (over 19 years ago)
LOCATIONS
A Address
8140 KNUE ROAD #204, INDIANAPOLIS IN 46250