License holder summary

Jeffrey Paul Goedeker is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Jeffrey Paul Goedeker is 8190 Windfall Lane, Ste. B, Camby IN 46113. This licensed professional license is current. The license was granted 10/12/2005 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Jeffrey Paul Goedeker
Controlled Substance Registration - Dentist
License number
12010781B
Date granted
10/12/2005
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
8190 Windfall Lane, Ste. B, Camby IN 46113
indianalicensing.org
ID 5085008
LAST UPDATED 2024-02-24 06:44:27 UTC

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