Indiana
Professional Licensing Agency
Paul David Goodrich
Controlled Substance Registration - Physician
License number
01039361B
Date granted
07/29/1991
Date expires
06/30/1993
Class
Controlled Substance Registration - Physician
Status
Expired
Address
PORTER MEMORIAL HOSPITAL MED STAFF OFF, 814 LAPORTE AVE, VALPARAISO IN 46383
indianalicensing.org
ID 5929515
LAST UPDATED 2024-03-15 02:17:02 UTC
LAST UPDATED 2024-03-15 02:17:02 UTC
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