Idaho
Division of Occupational and Professional Licenses
SCOTT ALLEN SHAPPARD
Board Of Medicine
License number
MRM-700
Date granted
11/26/2001
Date expires
11/30/2001
Class
Board Of Medicine
Status
Canceled
Address
SAMG - Overland BOISE ID 83709
idaholicensing.com
ID 48337135
LAST UPDATED 2024-01-27 04:41:52 UTC
LAST UPDATED 2024-01-27 04:41:52 UTC
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