Idaho
Division of Occupational and Professional Licenses
Dr. JAMES RYAN SHACKELFORD
Board Of Medicine
License number
M-13301
Date granted
05/26/2016
Date expires
06/30/2017
Class
Board Of Medicine
Status
Licensed
Address
TERRY REILLY HEALTH SERVICE NAMPA ID 83687
idaholicensing.com
ID 48350294
LAST UPDATED 2024-03-24 12:16:33 UTC
LAST UPDATED 2024-03-24 12:16:33 UTC
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