License holder summary

LEE SHANE GARDNER is a Board Of Medicine licensed to practice in Idaho. The address on file for LEE SHANE GARDNER is 3300 Washington Parkway Idaho Falls ID 83404. This licensed professional license is current. The license was granted 08/06/2001 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

LEE SHANE GARDNER
Board Of Medicine
License number
PA-359
Date granted
08/06/2001
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
3300 Washington Parkway Idaho Falls ID 83404
idaholicensing.com
ID 48345473
LAST UPDATED 2026-06-26 04:27:50 UTC

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