License holder summary

CODY JOE SCRIVNER is a Board Of Medicine licensed to practice in Idaho. The address on file for CODY JOE SCRIVNER is 13262 W ROCHESTER ST BOISE ID 83713. This licensed professional license is current. The license was granted 09/14/2016 and expired on 06/30/2018.

Idaho

Division of Occupational and Professional Licenses

CODY JOE SCRIVNER
Board Of Medicine
License number
PA-1407
Date granted
09/14/2016
Date expires
06/30/2018
Class
Board Of Medicine
Status
Licensed
Address
13262 W ROCHESTER ST BOISE ID 83713
idaholicensing.com
ID 48344454
LAST UPDATED 2026-03-16 01:45:26 UTC

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