Indiana
Professional Licensing Agency
DALE ALAN GOODMAN
Controlled Substance Registration - Physician
License number
01041200B
Date granted
07/14/1993
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
LAPORTE HOSPITAL DEP OF ANESTHESIOLGY, 1007 LINCOLNWAY, La Porte IN 46350
indianalicensing.org
ID 5877785
LAST UPDATED 2024-04-26 17:53:20 UTC
LAST UPDATED 2024-04-26 17:53:20 UTC
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