License holder summary

JESSE RAY SHAFFER is a Board Of Medicine licensed to practice in Idaho. The address on file for JESSE RAY SHAFFER is 632 N 10TH AVE POCATELLO ID 83201. This licensed professional license is not current. The license was granted 09/21/2007 and expired on 07/31/2009.

Idaho

Division of Occupational and Professional Licenses

JESSE RAY SHAFFER
Board Of Medicine
License number
PAT-562
Date granted
09/21/2007
Date expires
07/31/2009
Class
Board Of Medicine
Status
Expired
Address
632 N 10TH AVE POCATELLO ID 83201
idaholicensing.com
ID 48334184
LAST UPDATED 2024-04-22 05:47:18 UTC

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