License holder summary

SHANNON LORAINE GARDINER is a Board Of Medicine licensed to practice in Idaho. The address on file for SHANNON LORAINE GARDINER is 215 E. Hawaii Nampa ID 83686. This licensed professional license is current. The license was granted 08/16/2002 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

SHANNON LORAINE GARDINER
Board Of Medicine
License number
PA-403
Date granted
08/16/2002
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
215 E. Hawaii Nampa ID 83686
idaholicensing.com
ID 48345223
LAST UPDATED 2024-04-11 15:23:43 UTC

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