Idaho
Division of Occupational and Professional Licenses
A. SHANNON FOURT
Board Of Medicine
License number
M-1270
Date granted
10/07/1925
Date expires
10/07/1925
Class
Board Of Medicine
Status
Canceled
Address
Bonners Ferry ID
idaholicensing.com
ID 48350208
LAST UPDATED 2024-03-28 20:53:13 UTC
LAST UPDATED 2024-03-28 20:53:13 UTC
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