Indiana
Professional Licensing Agency
Mitchell Jay Goldman
Controlled Substance Registration-Osteopathic Physician
License number
02001386B
Date granted
12/10/1992
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
ST VINCENTS HOSP, 2001 WEST 86TH STREET, INDIANAPOLIS IN 46260
indianalicensing.org
ID 5805265
LAST UPDATED 2024-02-23 19:39:04 UTC
LAST UPDATED 2024-02-23 19:39:04 UTC
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