License holder summary

TARA JANE GOODWIN is a State Occupational Therapy Licensure Board - Occupational Therapy Assistant licensed to practice in Idaho. The address on file for TARA JANE GOODWIN is COEUR D ALENE ID 83814. This licensed professional license is current. The license was granted 09/17/2004 and expired on 03/10/2017.

Idaho

Division of Occupational and Professional Licenses

TARA JANE GOODWIN
State Occupational Therapy Licensure Board - Occupational Therapy Assistant
License number
OTA - 192
Date granted
09/17/2004
Date expires
03/10/2017
Class
State Occupational Therapy Licensure Board - Occupational Therapy Assistant
Status
Current
Address
COEUR D ALENE ID 83814
idaholicensing.com
ID 43729607
LAST UPDATED 2024-03-09 17:56:14 UTC

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