License holder summary

Michael Edward Goodman is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Michael Edward Goodman is 468 North 5th Street, Middletown IN 47356. This licensed professional license is current. The license was granted 07/31/1986 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Michael Edward Goodman
Controlled Substance Registration - Dentist
License number
12007717B
Date granted
07/31/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
468 North 5th Street, Middletown IN 47356
indianalicensing.org
ID 5112136
LAST UPDATED 2024-03-23 12:36:21 UTC

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