License holder summary

SHANE ALLEN WEARE is a Board Of Medicine licensed to practice in Idaho. The address on file for SHANE ALLEN WEARE is 4519 ENTERPRISE WAY CALDWELL ID 83605. This licensed professional license is current. The license was granted 07/18/2016 and expired on 06/30/2017.

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

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