Idaho
Division of Occupational and Professional Licenses
TIFFANY COZZENS COUGHENOUR
Board Of Medicine
License number
PA-244
Date granted
09/08/1998
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
2985 Cortez Ave., Ste. 200 Idaho Falls ID 83404
idaholicensing.com
ID 48348271
LAST UPDATED 2026-03-28 19:44:30 UTC
LAST UPDATED 2026-03-28 19:44:30 UTC
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