ANDREA DENISE GOODWIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036162791

License Status

ACTIVE

Business

Title

First Name

ANDREA

Middle

DENISE

Last Name

GOODWIN

Business Name

ANDREA DENISE GOODWIN MD

Original Issue Date

11/02/2022

Effective Date

06/13/2023

Expiration Date

07/31/2026

City

MERIDIAN

State

Zip

39301

Ever Disciplined

LastModifiedDate

06/13/2023