License holder summary

GLEN DAVID SHAPIRO is a Board Of Medicine licensed to practice in Idaho. The address on file for GLEN DAVID SHAPIRO is 513 N main St. HAILEY ID 83333. This licensed professional license is current. The license was granted 12/03/2004 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

GLEN DAVID SHAPIRO
Board Of Medicine
License number
M-9172
Date granted
12/03/2004
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
513 N main St. HAILEY ID 83333
idaholicensing.com
ID 48337127
LAST UPDATED 2024-04-14 17:08:03 UTC

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