GREGORY PAT GOODEN

Controlled Substance Registration - Physician

Indiana  01033300B   Expired

This Indiana license was held by GREGORY PAT GOODEN. The license is no longer active. It was granted on 11/30/1984 and expired on 06/30/1989

LICENSE DETAILS

  • License Number: 01033300B
  • Category: CSR-Physician
  • Status: Expired
  • Date Granted: 11/30/1984 (over 41 years ago)
  • Expiry Date: 06/30/1989 (about 37 years ago)

LOCATIONS

A Address

1500 SALEM STREET, LAFAYETTE IN 47904