Idaho
Division of Occupational and Professional Licenses
SHADRIC LAYNE MILLER
Board Of Medicine
License number
PGT-118
Date granted
08/11/2016
Date expires
06/30/2017
Class
Board Of Medicine
Status
Licensed
Address
124 E 300 N JEROME JEROME ID 83338
idaholicensing.com
ID 48358752
LAST UPDATED 2024-04-17 04:14:33 UTC
LAST UPDATED 2024-04-17 04:14:33 UTC
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