Idaho
Division of Occupational and Professional Licenses
AMALIA TYNOCCIA GOODWIN
Board Of Medicine
License number
D-286
Date granted
04/03/1998
Date expires
07/03/2001
Class
Board Of Medicine
Status
Canceled
Address
1800 N Cole #G-101 Boise ID 83704
idaholicensing.com
ID 48346338
LAST UPDATED 2024-04-06 06:05:30 UTC
LAST UPDATED 2024-04-06 06:05:30 UTC
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