License holder summary

SHANE MICHAEL FARR is a Board Of Medicine licensed to practice in Idaho. The address on file for SHANE MICHAEL FARR is 544 B PHEASANT RIDGE DR POCATELLO ID 83202. This licensed professional license is not current. The license was granted 09/25/2014 and expired on 08/05/2016.

Idaho

Division of Occupational and Professional Licenses

SHANE MICHAEL FARR
Board Of Medicine
License number
PAT-1233
Date granted
09/25/2014
Date expires
08/05/2016
Class
Board Of Medicine
Status
Expired
Address
544 B PHEASANT RIDGE DR POCATELLO ID 83202
idaholicensing.com
ID 48349619
LAST UPDATED 2024-02-21 04:00:32 UTC

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