Idaho
Division of Occupational and Professional Licenses
SHANA KINSEY EBORN
Board Of Medicine
License number
M-8340
Date granted
10/17/2001
Date expires
06/30/2006
Class
Board Of Medicine
Status
Canceled
Address
916 CHESTERBROOK CV SALT LAKE CITY UT 84123
idaholicensing.com
ID 48341417
LAST UPDATED 2024-03-07 17:45:29 UTC
LAST UPDATED 2024-03-07 17:45:29 UTC
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