License holder summary

SHANE MICHAEL UDELHOVEN is a Board Of Medicine licensed to practice in Idaho. The address on file for SHANE MICHAEL UDELHOVEN is 1860 SOUTH 2ND AVE #10 POCATELLO ID 83201. This licensed professional license is not current. The license was granted 09/21/2007 and expired on 07/31/2009.

Idaho

Division of Occupational and Professional Licenses

SHANE MICHAEL UDELHOVEN
Board Of Medicine
License number
PAT-556
Date granted
09/21/2007
Date expires
07/31/2009
Class
Board Of Medicine
Status
Expired
Address
1860 SOUTH 2ND AVE #10 POCATELLO ID 83201
idaholicensing.com
ID 48357080
LAST UPDATED 2024-02-08 16:25:56 UTC

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