Idaho
Division of Occupational and Professional Licenses
KYLEE ANN SHAW
Board Of Medicine
License number
PAT-1449
Date granted
09/01/2016
Date expires
08/03/2018
Class
Board Of Medicine
Status
Licensed
Address
543 N 200 W #4 MALAD CITY ID 83252
idaholicensing.com
ID 48339538
LAST UPDATED 2024-02-29 19:09:31 UTC
LAST UPDATED 2024-02-29 19:09:31 UTC
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