Indiana
Professional Licensing Agency
JOHN C C GOULD
Controlled Substance Registration - Physician
License number
01018883B
Date granted
12/31/1982
Date expires
06/30/1995
Class
Controlled Substance Registration - Physician
Status
Expired
Address
10509 UNCAS TRAIL, FORT WAYNE IN 46804
indianalicensing.org
ID 5853659
LAST UPDATED 2024-03-28 09:40:56 UTC
LAST UPDATED 2024-03-28 09:40:56 UTC
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