Idaho
Division of Occupational and Professional Licenses
WENDY MONIQUE GOODRICH
Board Of Medicine
License number
PA-1297
Date granted
09/22/2015
Date expires
06/30/2017
Class
Board Of Medicine
Status
Licensed
Address
1054 TERRA DRIVE MOSCOW ID 83843
idaholicensing.com
ID 48345824
LAST UPDATED 2024-02-18 21:14:05 UTC
LAST UPDATED 2024-02-18 21:14:05 UTC
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