Mark Allen Ellis
Controlled Substance Registration - Dentist
Indiana 12010547B Active
This Indiana license is held by Mark Allen Ellis. The license is currently active. It was granted on 04/25/2005 and expired on 03/01/2016
LICENSE DETAILS
- License Number: 12010547B
- Category: CSR-Dentist
- Status: Active
- Date Granted: 04/25/2005 (about 20 years ago)
- Expiry Date: 03/01/2016 (over 9 years ago)
LOCATIONS
A Address
910 Averitt Road, Greenwood IN 46143
Are you Mark Allen Ellis? Show the world that you're licensed by displaying your personal badge.
Get Badge