License holder summary

LISA MARIE GOODRICH is a Board Of Medicine licensed to practice in Idaho. The address on file for LISA MARIE GOODRICH is 917 Loma Linda Farmington NM 87401. This licensed professional license is not current. The license was granted 09/07/1996 and expired on 08/01/2014.

Idaho

Division of Occupational and Professional Licenses

LISA MARIE GOODRICH
Board Of Medicine
License number
M-7090
Date granted
09/07/1996
Date expires
08/01/2014
Class
Board Of Medicine
Status
Canceled
Address
917 Loma Linda Farmington NM 87401
idaholicensing.com
ID 48345820
LAST UPDATED 2024-03-25 15:48:47 UTC

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