Indiana
Professional Licensing Agency
David William Goris
Controlled Substance Registration - Dentist
License number
12010322B
Date granted
07/03/2001
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
201 S. Emerson Ave., Suite 130, Greenwood IN 46143
indianalicensing.org
ID 5099106
LAST UPDATED 2024-04-08 19:59:32 UTC
LAST UPDATED 2024-04-08 19:59:32 UTC
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