Idaho
Division of Occupational and Professional Licenses
MICHAEL KENNETH COOPERMAN
Board Of Medicine
License number
RTS-423
Date granted
09/08/2011
Date expires
11/25/2012
Class
Board Of Medicine
Status
Expired
Address
10555 HORSESHOE BEND RD BOISE ID 83714
idaholicensing.com
ID 48344205
LAST UPDATED 2024-05-07 16:36:25 UTC
LAST UPDATED 2024-05-07 16:36:25 UTC
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