LISA MARIE GOODRICH
Idaho TLM-2536 Upgraded
This Idaho license was held by LISA MARIE GOODRICH. The license is no longer active. It was granted on 06/18/1996
LICENSE DETAILS
- License Number: TLM-2536
- Category: Board Of Medicine
- Status: Upgraded
- Date Granted: 06/18/1996 (almost 29 years ago)
LOCATIONS
A Residential
917 Loma Linda Farmington NM 87401