License holder summary

SHANA LYNN TUBACH is a Board Of Medicine licensed to practice in Idaho. The address on file for SHANA LYNN TUBACH is 1072 N LIBERTY ST, STE 203 BOISE ID 83704. This licensed professional license is current. The license was granted 09/09/2000 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

SHANA LYNN TUBACH
Board Of Medicine
License number
M-8077
Date granted
09/09/2000
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
1072 N LIBERTY ST, STE 203 BOISE ID 83704
idaholicensing.com
ID 48372651
LAST UPDATED 2024-03-01 05:48:39 UTC

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