Idaho
Division of Occupational and Professional Licenses
CODY JAY TAPP
Board Of Medicine
License number
PAT-1160
Date granted
02/28/2014
Date expires
10/31/2014
Class
Board Of Medicine
Status
Expired
Address
600 PIONEER RD #705 REXBURG ID 83440
idaholicensing.com
ID 48337140
LAST UPDATED 2024-03-04 14:59:01 UTC
LAST UPDATED 2024-03-04 14:59:01 UTC
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