License holder summary

ALISSA MARIE SHAW is a Board Of Medicine licensed to practice in Idaho. The address on file for ALISSA MARIE SHAW is 621 FOOTHILL DRIVE ONTARIO OR 97914. This licensed professional license is not current. The license was granted 05/25/2007 and expired on 12/14/2007.

Idaho

Division of Occupational and Professional Licenses

ALISSA MARIE SHAW
Board Of Medicine
License number
RTS-111
Date granted
05/25/2007
Date expires
12/14/2007
Class
Board Of Medicine
Status
Expired
Address
621 FOOTHILL DRIVE ONTARIO OR 97914
idaholicensing.com
ID 48339524
LAST UPDATED 2024-03-16 20:18:00 UTC

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