Idaho
Division of Occupational and Professional Licenses
Dr. JACLYN MARIE COOPERRIDER
Board Of Medicine
License number
M-13130
Date granted
12/17/2015
Date expires
06/30/2017
Class
Board Of Medicine
Status
Licensed
Address
777 N. RAYMOND STREET BOISE ID 83704
idaholicensing.com
ID 48344207
LAST UPDATED 2024-04-10 09:13:10 UTC
LAST UPDATED 2024-04-10 09:13:10 UTC
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