License holder summary

SHANE KELLY BALL is a Board Of Medicine licensed to practice in Idaho. The address on file for SHANE KELLY BALL is 190 E Bannock Boise ID 83712. This licensed professional license is current. The license was granted 08/26/2005 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

SHANE KELLY BALL
Board Of Medicine
License number
M-9350
Date granted
08/26/2005
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
190 E Bannock Boise ID 83712
idaholicensing.com
ID 48335741
LAST UPDATED 2024-03-20 22:36:28 UTC

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