Idaho
Division of Occupational and Professional Licenses
Dr. TAIT DAVIS SHANAFELT
Board Of Medicine
License number
M-12273
Date granted
01/03/2014
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
200 FIRST STREET SW ROCHESTER MN 55905
idaholicensing.com
ID 48334189
LAST UPDATED 2024-02-08 17:25:40 UTC
LAST UPDATED 2024-02-08 17:25:40 UTC
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