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
LAST UPDATED 2024-03-23 15:51:40 UTC
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