License holder summary

JAMIE COY GRANGE is a Board Of Medicine licensed to practice in Idaho. The address on file for JAMIE COY GRANGE is 104 PRINCETON AVE POCATELLO ID 83201. This licensed professional license is not current. The license was granted 09/11/2013 and expired on 08/07/2015.

Idaho

Division of Occupational and Professional Licenses

JAMIE COY GRANGE
Board Of Medicine
License number
PAT-1087
Date granted
09/11/2013
Date expires
08/07/2015
Class
Board Of Medicine
Status
Expired
Address
104 PRINCETON AVE POCATELLO ID 83201
idaholicensing.com
ID 48350859
LAST UPDATED 2024-03-09 05:47:46 UTC

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