License holder summary

DEBRA ANN COOPER is a Board Of Medicine licensed to practice in Idaho. The address on file for DEBRA ANN COOPER is 1010 29th St Lewiston ID 83501. This licensed professional license is not current. The license was granted 11/20/1991 and expired on 08/01/2009.

Idaho

Division of Occupational and Professional Licenses

DEBRA ANN COOPER
Board Of Medicine
License number
LRT-050
Date granted
11/20/1991
Date expires
08/01/2009
Class
Board Of Medicine
Status
Canceled
Address
1010 29th St Lewiston ID 83501
idaholicensing.com
ID 48344189
LAST UPDATED 2024-03-31 22:05:31 UTC

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