Idaho
Division of Occupational and Professional Licenses
ANGELA ANN COYNE
Board Of Medicine
License number
PA-512
Date granted
09/29/2004
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
6051 N EAGLE RD BOISE ID 83713
idaholicensing.com
ID 48360194
LAST UPDATED 2024-03-12 14:46:33 UTC
LAST UPDATED 2024-03-12 14:46:33 UTC
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