CHARLES ELLISON BEND DDS - Dentist License in Indiana | # 019012281

CHARLES ELLISON BEND DDS

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012281

License Status

INACTIVE

Business

N

First Name

CHARLES ELLISON

Last Name

BEND

Suffix

DDS

Business Name

CHARLES ELLISON BEND DDS

Original Issue Date

07/26/1963

Effective Date

07/26/1963

Expiration Date

09/30/1992

State

IN

Ever Disciplined

N

LastModifiedDate

10/12/2005