License holder summary

Michael David Goodwin is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Michael David Goodwin is 11045 Broadway, Unit B, Crown Point IN 46307. This licensed professional license is not current. The license was granted 11/30/1985 and expired on 03/01/2014.

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 2022-07-21 22:07:47 UTC

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