License holder summary

Dr. TRACEY Ann KOPPERUD is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. TRACEY Ann KOPPERUD is OB GYN ASSOCIATES MERIDIAN ID 83642. This licensed professional license is current. The license was granted 10/18/2012 and expired on 06/30/2017.

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 2026-05-04 01:53:46 UTC

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