Indiana
Professional Licensing Agency
Chana Nicole Goodin
Physician Assistant
License number
10001474A
Date granted
11/28/2012
Date expires
06/30/2016
Class
Physician Assistant
Status
Active
Address
Fort Wayne IN 46804
indianalicensing.org
ID 8389820
LAST UPDATED 2024-03-05 04:05:58 UTC
LAST UPDATED 2024-03-05 04:05:58 UTC
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