License holder summary

SHANNON GOODWORTH BRAY is a Board Of Medicine licensed to practice in Idaho. The address on file for SHANNON GOODWORTH BRAY is 9943 W Carolina Dr BOISE ID 83709. This licensed professional license is current. The license was granted 05/23/1996 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

SHANNON GOODWORTH BRAY
Board Of Medicine
License number
D-240
Date granted
05/23/1996
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
9943 W Carolina Dr BOISE ID 83709
idaholicensing.com
ID 48339658
LAST UPDATED 2024-04-15 02:04:09 UTC

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