Idaho
Division of Occupational and Professional Licenses
JEFF WAYNE LUPER
Board Of Medicine
License number
PGT-025
Date granted
05/22/2006
Class
Board Of Medicine
Status
Upgraded
Address
5538 N. Koaster Ave. BOISE ID 83713
idaholicensing.com
ID 48357968
LAST UPDATED 2026-05-25 00:54:49 UTC
LAST UPDATED 2026-05-25 00:54:49 UTC
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