License holder summary

PHIL GOODMAN is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for PHIL GOODMAN is 7141 INDIANAPOLIS, HAMMOND IN 46324. This licensed professional license is not current. The license was granted 06/30/1986 and expired on 03/01/1990.

Indiana

Professional Licensing Agency

PHIL GOODMAN
Controlled Substance Registration - Dentist
License number
12004613B
Date granted
06/30/1986
Date expires
03/01/1990
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
7141 INDIANAPOLIS, HAMMOND IN 46324
indianalicensing.org
ID 5100120
LAST UPDATED 2024-03-28 00:55:44 UTC

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