Joseph Ellsworth Ellis
Controlled Substance Registration - Dentist
Indiana 12006096B Expired
This Indiana license was held by Joseph Ellsworth Ellis. The license is no longer active. It was granted on 06/30/1985 and expired on 03/01/2012
LICENSE DETAILS
- License Number: 12006096B
- Category: CSR-Dentist
- Status: Expired
- Date Granted: 06/30/1985 (almost 40 years ago)
- Expiry Date: 03/01/2012 (about 13 years ago)
LOCATIONS
A Address
305 North Meridian, Holland IN 47541