Idaho
Division of Occupational and Professional Licenses
SHANE MCBRIDE SMITH
Board Of Medicine
License number
PAT-1356
Date granted
10/01/2015
Date expires
08/04/2017
Class
Board Of Medicine
Status
Licensed
Address
527 S 10TH AVE #C POCATELLO ID 83201
idaholicensing.com
ID 48369446
LAST UPDATED 2024-02-23 09:24:20 UTC
LAST UPDATED 2024-02-23 09:24:20 UTC
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