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
LAST UPDATED 2024-03-28 00:55:44 UTC
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