Indiana
Professional Licensing Agency
Michael David Goodwin
Controlled Substance Registration - Dentist
License number
12007552B
Date granted
11/30/1985
Date expires
03/01/2014
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
11045 Broadway, Unit B, Crown Point IN 46307
indianalicensing.org
ID 5089045
LAST UPDATED 2024-02-09 14:40:37 UTC
LAST UPDATED 2024-02-09 14:40:37 UTC
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