Indiana
Professional Licensing Agency
Paul Goldwin
Controlled Substance Registration - Dentist
License number
12007428B
Date granted
04/30/1986
Date expires
03/01/2014
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
225 North Notre Dame Ave.,Ste. 3, South Bend IN 46617
indianalicensing.org
ID 5123354
LAST UPDATED 2024-02-25 01:14:16 UTC
LAST UPDATED 2024-02-25 01:14:16 UTC
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