License holder summary

SHANNON LO BRYAN is a Board Of Medicine licensed to practice in Idaho. The address on file for SHANNON LO BRYAN is 917 1/2 W Fort St Boise ID 83702. This licensed professional license is not current. The license was granted 08/07/1997 and expired on 07/02/1998.

Idaho

Division of Occupational and Professional Licenses

SHANNON LO BRYAN
Board Of Medicine
License number
M-7304
Date granted
08/07/1997
Date expires
07/02/1998
Class
Board Of Medicine
Status
Canceled
Address
917 1/2 W Fort St Boise ID 83702
idaholicensing.com
ID 48364032
LAST UPDATED 2024-04-19 07:52:16 UTC

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