Indiana
Professional Licensing Agency
Isaac Goodman
Controlled Substance Registration-Physician Assistant
License number
10001353B
Date granted
12/02/2011
Date expires
06/30/2012
Class
Controlled Substance Registration-Physician Assistant
Status
Expired
Address
Community Hospital South, 1402 East County Line Rd. South, Indianapolis IN 46227
indianalicensing.org
ID 8387168
LAST UPDATED 2024-04-15 06:03:25 UTC
LAST UPDATED 2024-04-15 06:03:25 UTC
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