License holder summary

CHRISTINA MARIE GOODMAN is a Board Of Medicine licensed to practice in Idaho. The address on file for CHRISTINA MARIE GOODMAN is 100 SHC Building Rexburg ID 83460. This licensed professional license is current. The license was granted 11/08/2005 and expired on 06/30/2018.

Idaho

Division of Occupational and Professional Licenses

CHRISTINA MARIE GOODMAN
Board Of Medicine
License number
PA-591
Date granted
11/08/2005
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
100 SHC Building Rexburg ID 83460
idaholicensing.com
ID 48345430
LAST UPDATED 2024-04-11 06:33:33 UTC

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