License holder summary

BRENDA SHAW is a Board Of Medicine licensed to practice in Idaho. The address on file for BRENDA SHAW is 4750 N Five Mile Rd Boise ID 83713. This licensed professional license is not current. The license was granted 08/31/2005.

Idaho

Division of Occupational and Professional Licenses

BRENDA SHAW
Board Of Medicine
License number
GPA-003
Date granted
08/31/2005
Class
Board Of Medicine
Status
Upgraded
Address
4750 N Five Mile Rd Boise ID 83713
idaholicensing.com
ID 48339526
LAST UPDATED 2024-02-13 05:47:19 UTC

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