Idaho
Division of Occupational and Professional Licenses
JODI LYNN GOODMAN CARLIN
Board Of Medicine
License number
LRT-426
Date granted
11/16/1993
Date expires
06/30/2006
Class
Board Of Medicine
Status
Canceled
Address
4595 SUNSTONE RD APT 83 SALT LAKE CITY UT 84123
idaholicensing.com
ID 48342351
LAST UPDATED 2024-04-18 02:27:43 UTC
LAST UPDATED 2024-04-18 02:27:43 UTC
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