License holder summary

JACOB JOHN GOODRICH is a Board Of Medicine licensed to practice in Idaho. The address on file for JACOB JOHN GOODRICH is 1377 S GOLDKINGS WAY BOISE ID 83709. This licensed professional license is not current. The license was granted 06/22/2015 and expired on 09/01/2016.

Idaho

Division of Occupational and Professional Licenses

JACOB JOHN GOODRICH
Board Of Medicine
License number
RTS-742
Date granted
06/22/2015
Date expires
09/01/2016
Class
Board Of Medicine
Status
Expired
Address
1377 S GOLDKINGS WAY BOISE ID 83709
idaholicensing.com
ID 48345819
LAST UPDATED 2024-04-26 11:23:09 UTC

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