Idaho
Division of Occupational and Professional Licenses
SHAUN RUSSELL GILLULY
Board Of Medicine
License number
LRT-812
Date granted
04/27/2000
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
2370 S BELLIN RD IDAHO FALLS ID 83402
idaholicensing.com
ID 48351164
LAST UPDATED 2026-04-17 15:06:49 UTC
LAST UPDATED 2026-04-17 15:06:49 UTC
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