Idaho
Division of Occupational and Professional Licenses
Dr. SHANE Gary MACHEN
Board Of Medicine
License number
O-0611
Date granted
04/29/2011
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
3500 Potomac Way Idaho Falls ID 83404
idaholicensing.com
ID 48329532
LAST UPDATED 2024-05-06 08:27:57 UTC
LAST UPDATED 2024-05-06 08:27:57 UTC
This website is unaffiliated with the Division of Occupational and Professional Licenses. Please verify all information directly with the relevant official government authority.