Idaho
Division of Occupational and Professional Licenses
SHANE COURTLAND MUSGROVE
Board Of Medicine
License number
PAT-1105
Date granted
09/11/2013
Date expires
08/05/2016
Class
Board Of Medicine
Status
Expired
Address
581 N WHITEWATER PARK BLVD #D207 BOISE ID 83702
idaholicensing.com
ID 48351817
LAST UPDATED 2024-03-19 09:09:52 UTC
LAST UPDATED 2024-03-19 09:09:52 UTC
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