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 2026-04-04 21:56:24 UTC
LAST UPDATED 2026-04-04 21:56:24 UTC
This website is unaffiliated with the Division of Occupational and Professional Licenses. Please verify all information directly with the relevant official government authority.