License holder summary

CODY JESS FOWLER is a Board Of Medicine licensed to practice in Idaho. The address on file for CODY JESS FOWLER is 355 N STATE ST SHELLEY ID 83274. This licensed professional license is current. The license was granted 11/17/2015 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

CODY JESS FOWLER
Board Of Medicine
License number
PA-1326
Date granted
11/17/2015
Date expires
06/30/2017
Class
Board Of Medicine
Status
Licensed
Address
355 N STATE ST SHELLEY ID 83274
idaholicensing.com
ID 48350216
LAST UPDATED 2024-03-02 09:52:21 UTC

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