License holder summary

SHANNON PECK is a Board Of Medicine licensed to practice in Idaho. The address on file for SHANNON PECK is 1632 BENCH RD POCATELLO ID 83201. This licensed professional license is not current. The license was granted 10/01/2008 and expired on 07/30/2010.

Idaho

Division of Occupational and Professional Licenses

SHANNON PECK
Board Of Medicine
License number
PAT-664
Date granted
10/01/2008
Date expires
07/30/2010
Class
Board Of Medicine
Status
Expired
Address
1632 BENCH RD POCATELLO ID 83201
idaholicensing.com
ID 48346813
LAST UPDATED 2024-04-13 11:39:47 UTC

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