| | Physician Last Name: | Goodell |
| | Physician First Name: | Charles |
| | Physician Middle Name: | Ellsworth |
| | Address: | 22922 Highway 12
Trinidad, Colorado 81802 |
| | License Number: | 110199 |
| | License Type: | MD |
| | Year of Birth: |
1942
|
| | Effective Date: | 05/09/2006 |
| | Action Description for DOH Webpage: | Censure and reprimand.The physician has satisfied the terms of the order. |
| | Misconduct Description for DOH Webpage: | The physician did not contest the charge of having been disciplined by the New Mexico State Medical Board for providing false information on his license application. |
| | License Limitations or Conditions for DOH Webpage: | |
| | Board Order: |
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