Idaho
Division of Occupational and Professional Licenses
CLIVE RANDALL COOPER
Board Of Medicine
License number
M-6445
Date granted
03/12/1994
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
St. Luke''s Clinic - Internal Medicine Boise ID 83701
idaholicensing.com
ID 48344184
LAST UPDATED 2024-03-18 23:37:11 UTC
LAST UPDATED 2024-03-18 23:37:11 UTC
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