Idaho
Division of Occupational and Professional Licenses
STACY ANN COOPER
Board Of Medicine
License number
PA-648
Date granted
11/15/2006
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
5224 E. Trail Wind Dr. Boise ID 83716
idaholicensing.com
ID 48344204
LAST UPDATED 2024-02-18 22:53:22 UTC
LAST UPDATED 2024-02-18 22:53:22 UTC
This website is unaffiliated with the Division of Occupational and Professional Licenses. Please verify all information directly with the relevant official government authority.