Indiana
Professional Licensing Agency
Jordan A. Goodman
Physician
License number
01050651A
Date granted
05/21/1999
Date expires
06/30/2005
Class
Physician
Status
Expired Non-Renewable
Address
Frankfort IL 60423
indianalicensing.org
ID 6054682
LAST UPDATED 2024-03-05 21:42:18 UTC
LAST UPDATED 2024-03-05 21:42:18 UTC
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