Michael Vanice Ellis
Controlled Substance Registration - Dentist
Indiana 12006819B Active
This Indiana license is held by Michael Vanice Ellis. The license is currently active. It was granted on 04/17/1989 and expired on 03/01/2016
LICENSE DETAILS
- License Number: 12006819B
- Category: CSR-Dentist
- Status: Active
- Date Granted: 04/17/1989 (about 36 years ago)
- Expiry Date: 03/01/2016 (about 9 years ago)
LOCATIONS
A Address
P.O. Box 38, 305 North Meridian Street, Holland IN 47541
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