LISA MARIE GOODRICH
Idaho M-7090 Canceled
This Idaho license was held by LISA MARIE GOODRICH. The license is no longer active. It was granted on 09/07/1996 and expired on 08/01/2014
LICENSE DETAILS
- License Number: M-7090
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 09/07/1996 (over 28 years ago)
- Expiry Date: 08/01/2014 (over 10 years ago)
LOCATIONS
A Residential
917 Loma Linda Farmington NM 87401