Idaho
Division of Occupational and Professional Licenses
THOMAS E GOODWIN
Board Of Medicine
License number
M-5214
Date granted
05/13/1987
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
8854 W Emerald St Ste 102 Boise ID 83704
idaholicensing.com
ID 48346349
LAST UPDATED 2024-03-18 06:21:13 UTC
LAST UPDATED 2024-03-18 06:21:13 UTC
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