Idaho
Division of Occupational and Professional Licenses
Dr. SHANE Kenneth MARSHALL
Board Of Medicine
License number
O-0722
Date granted
05/09/2013
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
2963 E COPPER POINT DRIVE MERIDIAN ID 83642
idaholicensing.com
ID 48367072
LAST UPDATED 2024-03-05 09:02:14 UTC
LAST UPDATED 2024-03-05 09:02:14 UTC
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