Idaho
Division of Occupational and Professional Licenses
SHANE NICHOLAS WEBER
Board Of Medicine
License number
MSO-0036
Date granted
07/01/2012
Date expires
06/30/2014
Class
Board Of Medicine
Status
Expired
Address
605 SOUTHERN AVE 4C SELAH WA 98942
idaholicensing.com
ID 48346746
LAST UPDATED 2026-03-16 23:37:44 UTC
LAST UPDATED 2026-03-16 23:37:44 UTC
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