KIM JACOB COFFMAN
Idaho SPHY-7868 Canceled
This Idaho license was held by KIM JACOB COFFMAN. The license is no longer active. It was granted on 11/08/2005 and expired on 12/31/2006
LICENSE DETAILS
- License Number: SPHY-7868
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 11/08/2005 (over 19 years ago)
- Expiry Date: 12/31/2006 (over 18 years ago)
LOCATIONS
A Residential
345 Sheffield Circle IDAHO FALLS ID 83404