Idaho
Division of Occupational and Professional Licenses
SHANNON JAMES SUMMERS
Board Of Medicine
License number
MSM-0300
Date granted
06/19/2013
Date expires
06/30/2014
Class
Board Of Medicine
Status
Expired
Address
5001 RAVENNA AVE NE #22 SEATTLE WA 98105
idaholicensing.com
ID 48359206
LAST UPDATED 2024-03-14 00:41:56 UTC
LAST UPDATED 2024-03-14 00:41:56 UTC
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