License holder summary

SHANE MICHAEL OSGOOD is a Board Of Medicine licensed to practice in Idaho. The address on file for SHANE MICHAEL OSGOOD is 2091 MULHOLLAND RD PAINTED POST NY 14870. This licensed professional license is not current. The license was granted 07/02/2014 and expired on 08/03/2015.

Idaho

Division of Occupational and Professional Licenses

SHANE MICHAEL OSGOOD
Board Of Medicine
License number
AT-509
Date granted
07/02/2014
Date expires
08/03/2015
Class
Board Of Medicine
Status
Canceled
Address
2091 MULHOLLAND RD PAINTED POST NY 14870
idaholicensing.com
ID 48351683
LAST UPDATED 2024-03-10 11:45:25 UTC

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