Idaho
Division of Occupational and Professional Licenses
LISA MARIE SHEPPARD
Board Of Medicine
License number
M-8820
Date granted
06/13/2003
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
31 Park Hill Terr PRINCETON JUNCTION NJ 08550
idaholicensing.com
ID 48348398
LAST UPDATED 2024-04-30 03:25:10 UTC
LAST UPDATED 2024-04-30 03:25:10 UTC
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