Idaho
Division of Occupational and Professional Licenses
NATHAN FRANCIS COONROD
Board Of Medicine
License number
M-5075
Date granted
07/08/1986
Date expires
07/02/1992
Class
Board Of Medicine
Status
Canceled
Address
4574 N. MACKENZIE LANE BOISE ID 83703
idaholicensing.com
ID 48344178
LAST UPDATED 2024-03-24 23:15:50 UTC
LAST UPDATED 2024-03-24 23:15:50 UTC
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