License holder summary

NICHOLAS GRANT GOODMAN is a Board Of Medicine licensed to practice in Idaho. The address on file for NICHOLAS GRANT GOODMAN is 5959 W UTOPIA RD #1036 GLENDALE AZ 85308. This licensed professional license is not current. The license was granted 12/21/2009 and expired on 03/17/2010.

Idaho

Division of Occupational and Professional Licenses

NICHOLAS GRANT GOODMAN
Board Of Medicine
License number
PAT-781
Date granted
12/21/2009
Date expires
03/17/2010
Class
Board Of Medicine
Status
Expired
Address
5959 W UTOPIA RD #1036 GLENDALE AZ 85308
idaholicensing.com
ID 48345434
LAST UPDATED 2024-03-20 22:24:48 UTC

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