License holder summary

SHANE ALAN MAXWELL is a Board Of Medicine licensed to practice in Idaho. The address on file for SHANE ALAN MAXWELL is 8950 W EMERALD STE 168 BOISE ID 83704. This licensed professional license is current. The license was granted 03/03/2006 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

SHANE ALAN MAXWELL
Board Of Medicine
License number
O-0385
Date granted
03/03/2006
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
8950 W EMERALD STE 168 BOISE ID 83704
idaholicensing.com
ID 48339618
LAST UPDATED 2024-03-03 22:13:23 UTC

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