License holder summary

Charles Harrell Goodman is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Charles Harrell Goodman is 9105 A Indianapolis Blvd. Suite 201, Highland IN 46322. This licensed professional license is current. The license was granted 02/25/1992 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Charles Harrell Goodman
Controlled Substance Registration - Dentist
License number
12009427B
Date granted
02/25/1992
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
9105 A Indianapolis Blvd. Suite 201, Highland IN 46322
indianalicensing.org
ID 5100638
LAST UPDATED 2024-04-11 02:16:25 UTC

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