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
LAST UPDATED 2024-03-23 12:36:21 UTC
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