Indiana
Professional Licensing Agency
James Jay Goodpaster
Controlled Substance Registration - Dentist
License number
12011590B
Date granted
04/08/2011
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Affordable Dentures, 3800 Industrial Road, Bloomington IN 47403
indianalicensing.org
ID 5083076
LAST UPDATED 2024-02-02 21:08:04 UTC
LAST UPDATED 2024-02-02 21:08:04 UTC
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