Indiana
Professional Licensing Agency
Michael Joseph Goodman
Controlled Substance Registration - Physician
License number
01036134E
Date granted
07/20/1987
Date expires
06/30/1993
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1300 TRIANGLE DRIVE, CLARKSVILLE IN 47129
indianalicensing.org
ID 5834464
LAST UPDATED 2024-03-21 12:14:19 UTC
LAST UPDATED 2024-03-21 12:14:19 UTC
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