Robert Paul Ellison
Controlled Substance Registration - Dentist
Indiana 12006593B Active
This Indiana license is held by Robert Paul Ellison. The license is currently active. It was granted on 06/30/1986 and expired on 03/01/2016
LICENSE DETAILS
- License Number: 12006593B
- Category: CSR-Dentist
- Status: Active
- Date Granted: 06/30/1986 (about 39 years ago)
- Expiry Date: 03/01/2016 (over 9 years ago)
LOCATIONS
A Address
8220 Tranquilla Place, Fort Wayne IN 46815
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