License holder summary

SHANA DAWN FOGARTY is a Board Of Medicine licensed to practice in Idaho. The address on file for SHANA DAWN FOGARTY is Hospice of North Idaho Hayden ID 83835. This licensed professional license is current. The license was granted 10/08/2002 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

SHANA DAWN FOGARTY
Board Of Medicine
License number
M-8664
Date granted
10/08/2002
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
Hospice of North Idaho Hayden ID 83835
idaholicensing.com
ID 48350094
LAST UPDATED 2024-01-25 18:52:16 UTC

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