Idaho
Division of Occupational and Professional Licenses
GLEN M. SHEPPARD
Board Of Medicine
License number
M-3555
Date granted
01/16/1977
Date expires
07/02/1993
Class
Board Of Medicine
Status
Canceled
Address
515 S 300 E, #107 Saint George UT 84770
idaholicensing.com
ID 48348395
LAST UPDATED 2024-03-17 00:49:05 UTC
LAST UPDATED 2024-03-17 00:49:05 UTC
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