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
LAST UPDATED 2024-02-24 06:44:27 UTC
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