License holder summary

SHANNON RENEE SIMONES is a Board Of Medicine licensed to practice in Idaho. The address on file for SHANNON RENEE SIMONES is 16207 CHARLESTON DR CALDWELL ID 83607. This licensed professional license is not current. The license was granted 02/10/2011 and expired on 08/01/2014.

Idaho

Division of Occupational and Professional Licenses

SHANNON RENEE SIMONES
Board Of Medicine
License number
D-662
Date granted
02/10/2011
Date expires
08/01/2014
Class
Board Of Medicine
Status
Canceled
Address
16207 CHARLESTON DR CALDWELL ID 83607
idaholicensing.com
ID 48354633
LAST UPDATED 2024-02-22 02:00:34 UTC

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