Idaho
Division of Occupational and Professional Licenses
SHAWN LOUIS STATES
Board Of Medicine
License number
M-9553
Date granted
04/07/2006
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
2850 S GARIBALDI AVE MERIDIAN ID 83642
idaholicensing.com
ID 48371481
LAST UPDATED 2024-03-05 17:20:25 UTC
LAST UPDATED 2024-03-05 17:20:25 UTC
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