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 2026-04-24 17:06:52 UTC
LAST UPDATED 2026-04-24 17:06:52 UTC
This website is unaffiliated with the Division of Occupational and Professional Licenses. Please verify all information directly with the relevant official government authority.