Idaho
Division of Occupational and Professional Licenses
W. PATRICK COGHLAN
Board Of Medicine
License number
M-9871
Date granted
03/28/2007
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
10502 E. Paraiso Rd. HEREFORD AZ 85615
idaholicensing.com
ID 48343896
LAST UPDATED 2026-03-15 06:20:01 UTC
LAST UPDATED 2026-03-15 06:20:01 UTC
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