License holder summary

Fallon M. Goodman is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Fallon M. Goodman is Lowell IN 46356-1474. This licensed professional license is not current. The license was granted 11/07/2008 and expired on 05/07/2009.

Indiana

Professional Licensing Agency

Fallon M. Goodman
Radiology Provisional Permit
License number
XP501494
Date granted
11/07/2008
Date expires
05/07/2009
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Lowell IN 46356-1474
indianalicensing.org
ID 8493403
LAST UPDATED 2026-06-07 16:30:43 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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