CHARLES ELLISON BEND DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012281

License Status

INACTIVE

Business

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

City

CHESTERTON

State

Zip

46304

County

INDIANA

Ever Disciplined

LastModifiedDate

10/12/2005