License holder summary

PHILLIP DUANE GODSEY is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for PHILLIP DUANE GODSEY is 5019 Oak Creek Court, Fort Wayne IN 46835. This licensed professional license is not current. The license was granted 03/31/1986 and expired on 06/30/2011.

Indiana

Professional Licensing Agency

PHILLIP DUANE GODSEY
Controlled Substance Registration - Physician
License number
01021483B
Date granted
03/31/1986
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Expired
Address
5019 Oak Creek Court, Fort Wayne IN 46835
indianalicensing.org
ID 5854223
LAST UPDATED 2024-01-29 21:40:36 UTC

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