Idaho
Division of Occupational and Professional Licenses
MARTHA ANN GOODRICH
Board Of Medicine
License number
M-8150
Date granted
01/02/2001
Date expires
06/30/2003
Class
Board Of Medicine
Status
Canceled
Address
1400 Holcomb Bridge Rd Roswell GA 30076
idaholicensing.com
ID 48345822
LAST UPDATED 2026-05-04 10:27:07 UTC
LAST UPDATED 2026-05-04 10:27:07 UTC
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