License holder summary

SHAUN MICHAEL MILLER is a Board Of Medicine licensed to practice in Idaho. The address on file for SHAUN MICHAEL MILLER is 16100 SW CENTURY DR SHERWOOD OR 97140. This licensed professional license is not current. The license was granted 04/09/2012 and expired on 08/01/2013.

Idaho

Division of Occupational and Professional Licenses

SHAUN MICHAEL MILLER
Board Of Medicine
License number
LRT-1612
Date granted
04/09/2012
Date expires
08/01/2013
Class
Board Of Medicine
Status
Canceled
Address
16100 SW CENTURY DR SHERWOOD OR 97140
idaholicensing.com
ID 48358754
LAST UPDATED 2024-03-08 18:59:35 UTC

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