JEFF WAYNE LUPER
Idaho TRN-006 Upgraded
This Idaho license was held by JEFF WAYNE LUPER. The license is no longer active. It was granted on 12/22/2005
LICENSE DETAILS
- License Number: TRN-006
- Category: Board Of Medicine
- Status: Upgraded
- Date Granted: 12/22/2005 (over 19 years ago)
LOCATIONS
A Residential
5538 N. Koaster Ave. BOISE ID 83713