Michael Joseph Goodman
Controlled Substance Registration - Physician
Indiana 01036134D Expired
This Indiana license was held by Michael Joseph Goodman. The license is no longer active. It was granted on 07/14/1999 and expired on 06/30/2001
LICENSE DETAILS
- License Number: 01036134D
- Category: CSR-Physician
- Status: Expired
- Date Granted: 07/14/1999 (almost 25 years ago)
- Expiry Date: 06/30/2001 (almost 23 years ago)
LOCATIONS
A Address
HOME HOSPITAL ATTN MEDICAL STAFF, 2400 SOUTH STREET, LAFAYETTE IN 47903