Idaho
Division of Occupational and Professional Licenses
SHANNON MARGARET FAY
Board Of Medicine
License number
PAT-461
Date granted
07/15/2005
Date expires
04/12/2006
Class
Board Of Medicine
Status
Expired
Address
19931 BLUEGRASS CIR WEST LINN OR 97068
idaholicensing.com
ID 48339719
LAST UPDATED 2026-04-06 02:55:24 UTC
LAST UPDATED 2026-04-06 02:55:24 UTC
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