Idaho
Division of Occupational and Professional Licenses
SHAWNA L COZENS
Board Of Medicine
License number
PAT-1135
Date granted
09/18/2013
Date expires
11/01/2013
Class
Board Of Medicine
Status
Expired
Address
6615 SE 21ST AVE PORTLAND OR 97202
idaholicensing.com
ID 48348275
LAST UPDATED 2024-02-04 23:37:55 UTC
LAST UPDATED 2024-02-04 23:37:55 UTC
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