Idaho
Division of Occupational and Professional Licenses
CLIFTON WARREN SHEPHERD JR.
Board Of Medicine
License number
M-10317
Date granted
06/06/2008
Date expires
08/01/2013
Class
Board Of Medicine
Status
Canceled
Address
PO BOX 53668 LAFAYETTE LA 70502
idaholicensing.com
ID 48348389
LAST UPDATED 2024-04-16 22:33:52 UTC
LAST UPDATED 2024-04-16 22:33:52 UTC
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