Indiana
Professional Licensing Agency
DAVID MARK GOODMAN
Physician
License number
01034500A
Date granted
07/11/1985
Date expires
06/30/2001
Class
Physician
Status
Expired Non-Renewable
Address
LAFAYETTE IN 47905
indianalicensing.org
ID 6068106
LAST UPDATED 2024-03-31 05:58:09 UTC
LAST UPDATED 2024-03-31 05:58:09 UTC
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