Idaho
Division of Occupational and Professional Licenses
SHANE ALLEN WEARE
Board Of Medicine
License number
MSO-0218
Date granted
07/18/2016
Date expires
06/30/2017
Class
Board Of Medicine
Status
Licensed
Address
4519 ENTERPRISE WAY CALDWELL ID 83605
idaholicensing.com
ID 48346636
LAST UPDATED 2024-03-20 02:37:21 UTC
LAST UPDATED 2024-03-20 02:37:21 UTC
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