Idaho
Division of Occupational and Professional Licenses
JAMIE LYNN LOPEZ
Board Of Medicine
License number
PGT-024
Date granted
04/11/2006
Class
Board Of Medicine
Status
Upgraded
Address
339 N COPPERTREE DRIVE NAMPA ID 83651
idaholicensing.com
ID 48349493
LAST UPDATED 2024-03-21 14:56:41 UTC
LAST UPDATED 2024-03-21 14:56:41 UTC
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