JEFF WAYNE LUPER
Idaho PGT-025 Upgraded
This Idaho license was held by JEFF WAYNE LUPER. The license is no longer active. It was granted on 05/22/2006
LICENSE DETAILS
- License Number: PGT-025
- Category: Board Of Medicine
- Status: Upgraded
- Date Granted: 05/22/2006 (about 19 years ago)
LOCATIONS
A Residential
5538 N. Koaster Ave. BOISE ID 83713