Idaho
Division of Occupational and Professional Licenses
Dr. TRACEY Ann KOPPERUD
Board Of Medicine
License number
O-0690
Date granted
10/18/2012
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
OB GYN ASSOCIATES MERIDIAN ID 83642
idaholicensing.com
ID 48356501
LAST UPDATED 2024-05-07 06:07:33 UTC
LAST UPDATED 2024-05-07 06:07:33 UTC
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