Idaho
Division of Occupational and Professional Licenses
DAVID D SHUPE
Board Of Medicine
License number
M-4366
Date granted
07/11/1981
Date expires
08/01/2009
Class
Board Of Medicine
Status
Canceled
Address
623 S Main Moscow ID 83843
idaholicensing.com
ID 48353644
LAST UPDATED 2024-02-16 13:09:33 UTC
LAST UPDATED 2024-02-16 13:09:33 UTC
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