License holder summary

SHARADAN E. LISK is a Board Of Medicine licensed to practice in Idaho. The address on file for SHARADAN E. LISK is P. O. Box 2138 BOISE ID 83701. This licensed professional license is not current. The license was granted 07/14/1969.

Idaho

Division of Occupational and Professional Licenses

SHARADAN E. LISK
Board Of Medicine
License number
M-2859
Date granted
07/14/1969
Class
Board Of Medicine
Status
Canceled
Address
P. O. Box 2138 BOISE ID 83701
idaholicensing.com
ID 48368285
LAST UPDATED 2024-03-24 12:58:22 UTC

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