Idaho
Division of Occupational and Professional Licenses
DR. SHANNON CHRISTINE ROBERTS
Board Of Medicine
License number
M-10455
Date granted
09/29/2008
Date expires
08/01/2014
Class
Board Of Medicine
Status
Canceled
Address
PO BOX 1844 JACKSON WY 83001
idaholicensing.com
ID 48361028
LAST UPDATED 2024-04-19 02:43:14 UTC
LAST UPDATED 2024-04-19 02:43:14 UTC
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