Indiana
Professional Licensing Agency
Robert Joseph Goulet, III
Controlled Substance Registration - Physician
License number
01069548B
Date granted
05/18/2011
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Boling Vision Center, LLC, 2746 Old US Hwy 20W, Elkhart IN 46514
indianalicensing.org
ID 5848246
LAST UPDATED 2024-04-11 21:32:33 UTC
LAST UPDATED 2024-04-11 21:32:33 UTC
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