Indiana
Professional Licensing Agency
Miranda Goodale
Controlled Substance Registration - Podiatrist
License number
07001015B
Date granted
02/27/2006
Date expires
06/30/2015
Class
Controlled Substance Registration - Podiatrist
Status
Active
Address
1214 East National Avenue, Suite 90B, Brazil IN 47834
indianalicensing.org
ID 8429797
LAST UPDATED 2024-02-12 01:21:21 UTC
LAST UPDATED 2024-02-12 01:21:21 UTC
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