ROBERT WINEFRED ELLIS

Controlled Substance Registration-Osteopathic Physician

Indiana  02000200B   Expired

This Indiana license was held by ROBERT WINEFRED ELLIS. The license is no longer active. It was granted on 06/30/1986 and expired on 06/30/1997

LICENSE DETAILS

  • License Number: 02000200B
  • Category: CSR-Osteopathic Physician
  • Status: Expired
  • Date Granted: 06/30/1986 (almost 40 years ago)
  • Expiry Date: 06/30/1997 (almost 29 years ago)

LOCATIONS

A Address

1507 WEST 4TH STREET, MARION IN 46952