Idaho
Division of Occupational and Professional Licenses
THOMAS PERRY GOODELL
Board Of Medicine
License number
M-5659
Date granted
04/21/1990
Date expires
06/30/2004
Class
Board Of Medicine
Status
Canceled
Address
3810 E Grand Ave #B Laramie WY 82070
idaholicensing.com
ID 48351531
LAST UPDATED 2024-02-18 07:24:02 UTC
LAST UPDATED 2024-02-18 07:24:02 UTC
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