Idaho
Division of Occupational and Professional Licenses
STEPHANIE GOODWIN
Board Of Medicine
License number
O-0376
Date granted
12/02/2005
Class
Board Of Medicine
Status
Active
Address
16420 W Highway 24 WOODLAND PARK CO 80863
idaholicensing.com
ID 48346344
LAST UPDATED 2024-04-23 22:57:16 UTC
LAST UPDATED 2024-04-23 22:57:16 UTC
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