Idaho
Division of Occupational and Professional Licenses
SHANNA ELIZABETH BREWER
Board Of Medicine
License number
AT-580
Date granted
06/15/2016
Date expires
06/30/2017
Class
Board Of Medicine
Status
Licensed
Address
3530 N WESTON WAY MERIDIAN ID 83646
idaholicensing.com
ID 48341546
LAST UPDATED 2024-03-28 11:01:39 UTC
LAST UPDATED 2024-03-28 11:01:39 UTC
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