License holder summary

Dr. JONATHAN SHUPE is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. JONATHAN SHUPE is 2003 KOOTENAI HEALTH WAY COEUR D ALENE ID 83814. This licensed professional license is current. The license was granted 05/06/2014 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

Dr. JONATHAN SHUPE
Board Of Medicine
License number
M-12445
Date granted
05/06/2014
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
2003 KOOTENAI HEALTH WAY COEUR D ALENE ID 83814
idaholicensing.com
ID 48353646
LAST UPDATED 2024-04-14 16:16:07 UTC

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