Idaho
Division of Occupational and Professional Licenses
SKYLER SHANE SHIPPEN
Board Of Medicine
License number
MRM-1552
Date granted
05/04/2016
Date expires
06/30/2017
Class
Board Of Medicine
Status
Licensed
Address
465 MEMORIAL DR POCATELLO ID 83201
idaholicensing.com
ID 48354801
LAST UPDATED 2024-03-08 19:44:49 UTC
LAST UPDATED 2024-03-08 19:44:49 UTC
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