Idaho
Division of Occupational and Professional Licenses
Dr. LISA JO SHIVES
Board Of Medicine
License number
M-13446
Date granted
09/13/2016
Date expires
06/30/2018
Class
Board Of Medicine
Status
Licensed
Address
9300 CAMPUS POINT DR. LA JOLLA CA 92037
idaholicensing.com
ID 48355435
LAST UPDATED 2024-04-02 23:25:23 UTC
LAST UPDATED 2024-04-02 23:25:23 UTC
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