Michael David Goodwin

Controlled Substance Registration - Dentist

Indiana  12007552B   Expired

This Indiana license was held by Michael David Goodwin. The license is no longer active. It was granted on 11/30/1985 and expired on 03/01/2014

LICENSE DETAILS

  • License Number: 12007552B
  • Category: CSR-Dentist
  • Status: Expired
  • Date Granted: 11/30/1985 (over 38 years ago)
  • Expiry Date: 03/01/2014 (about 10 years ago)

LOCATIONS

A Address

11045 Broadway, Unit B, Crown Point IN 46307