Indiana
Professional Licensing Agency
Leah Renee Goodwin
Controlled Substance Registration - Dentist
License number
12010355B
Date granted
09/13/2001
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
100 MAIN ST P O BOX 269, Oaktown IN 47561
indianalicensing.org
ID 5117285
LAST UPDATED 2024-02-25 19:58:48 UTC
LAST UPDATED 2024-02-25 19:58:48 UTC
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