License holder summary

SHANDRA LEE KISSINGER is a Board Of Medicine licensed to practice in Idaho. The address on file for SHANDRA LEE KISSINGER is 1601 MILLER AVE BURLEY ID 83318. This licensed professional license is not current. The license was granted 04/30/2007 and expired on 07/31/2010.

Idaho

Division of Occupational and Professional Licenses

SHANDRA LEE KISSINGER
Board Of Medicine
License number
PGT-037
Date granted
04/30/2007
Date expires
07/31/2010
Class
Board Of Medicine
Status
Canceled
Address
1601 MILLER AVE BURLEY ID 83318
idaholicensing.com
ID 48356187
LAST UPDATED 2024-04-16 22:48:34 UTC

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