License holder summary

Dr. SHANE Gary MACHEN is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. SHANE Gary MACHEN is 3500 Potomac Way Idaho Falls ID 83404. This licensed professional license is current. The license was granted 04/29/2011 and expired on 06/30/2018.

Idaho

Division of Occupational and Professional Licenses

Dr. SHANE Gary MACHEN
Board Of Medicine
License number
O-0611
Date granted
04/29/2011
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
3500 Potomac Way Idaho Falls ID 83404
idaholicensing.com
ID 48329532
LAST UPDATED 2024-03-23 15:51:40 UTC

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