Idaho
Division of Occupational and Professional Licenses
MICHAEL CLYDE SHAW
Board Of Medicine
License number
M-7732
Date granted
05/06/1999
Date expires
06/30/2003
Class
Board Of Medicine
Status
Canceled
Address
330 E 200 S Brigham City UT 84302
idaholicensing.com
ID 48339547
LAST UPDATED 2026-04-08 20:46:46 UTC
LAST UPDATED 2026-04-08 20:46:46 UTC
This website is unaffiliated with the Division of Occupational and Professional Licenses. Please verify all information directly with the relevant official government authority.