Idaho
Division of Occupational and Professional Licenses
SHANE ARTHUR BAKER
Board Of Medicine
License number
M-8881
Date granted
09/13/2003
Date expires
06/30/2005
Class
Board Of Medicine
Status
Canceled
Address
1158 N HONEYSUCKLE LN VINCENNES IN 47591
idaholicensing.com
ID 48335218
LAST UPDATED 2024-02-28 14:03:01 UTC
LAST UPDATED 2024-02-28 14:03:01 UTC
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