License holder summary

STEVEN KENT GOODWIN is a Board Of Medicine licensed to practice in Idaho. The address on file for STEVEN KENT GOODWIN is 3615 Samaritan Drive, Ste. 211 CORVALLIS OR 97330. This licensed professional license is not current. The license was granted 12/03/2004 and expired on 08/01/2013.

Idaho

Division of Occupational and Professional Licenses

STEVEN KENT GOODWIN
Board Of Medicine
License number
M-9171
Date granted
12/03/2004
Date expires
08/01/2013
Class
Board Of Medicine
Status
Canceled
Address
3615 Samaritan Drive, Ste. 211 CORVALLIS OR 97330
idaholicensing.com
ID 48346347
LAST UPDATED 2024-03-08 22:28:00 UTC

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