License holder summary

Dr. LISA JO SHIVES is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. LISA JO SHIVES is 9300 CAMPUS POINT DR. LA JOLLA CA 92037. This licensed professional license is current. The license was granted 09/13/2016 and expired on 06/30/2018.

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

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