Indiana
Professional Licensing Agency
Joseph E. Gooding
Medical Residency Permit
License number
11011644A
Date granted
06/04/2003
Date expires
06/30/2007
Class
Medical Residency Permit
Status
Superceded
Address
FORT WAYNE IN 46845
indianalicensing.org
ID 5979167
LAST UPDATED 2026-05-01 16:13:47 UTC
LAST UPDATED 2026-05-01 16:13:47 UTC
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