License holder summary

DAVID MARK GOODMAN is a Physician licensed to practice in Indiana. The address on file for DAVID MARK GOODMAN is LAFAYETTE IN 47905. This licensed professional license is not current. The license was granted 07/11/1985 and expired on 06/30/2001.

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

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