License holder summary

MARY ALICE GOODWIN is a Board Of Medicine licensed to practice in Idaho. The address on file for MARY ALICE GOODWIN is POCATELLO CHILDRENS CLINIC POCATELLO ID 83205. This licensed professional license is not current. The license was granted 11/01/2002 and expired on 01/01/2003.

Idaho

Division of Occupational and Professional Licenses

MARY ALICE GOODWIN
Board Of Medicine
License number
MRM-729
Date granted
11/01/2002
Date expires
01/01/2003
Class
Board Of Medicine
Status
Canceled
Address
POCATELLO CHILDRENS CLINIC POCATELLO ID 83205
idaholicensing.com
ID 48346341
LAST UPDATED 2024-04-22 04:20:59 UTC

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