License holder summary

SHANNON ELIZABETH ROBERTSON is a Board Of Medicine licensed to practice in Idaho. The address on file for SHANNON ELIZABETH ROBERTSON is 3289 PATRICIA PLACE BOISE ID 83704. This licensed professional license is not current. The license was granted 08/15/2011 and expired on 08/01/2013.

Idaho

Division of Occupational and Professional Licenses

SHANNON ELIZABETH ROBERTSON
Board Of Medicine
License number
AT-406
Date granted
08/15/2011
Date expires
08/01/2013
Class
Board Of Medicine
Status
Canceled
Address
3289 PATRICIA PLACE BOISE ID 83704
idaholicensing.com
ID 48361056
LAST UPDATED 2026-05-25 13:14:39 UTC

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