License holder summary

SHAWNA RAE TANBERG FIELDING is a Board Of Medicine licensed to practice in Idaho. The address on file for SHAWNA RAE TANBERG FIELDING is 1151 North 1100 East Shelley ID 83274. This licensed professional license is current. The license was granted 07/31/1998 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

SHAWNA RAE TANBERG FIELDING
Board Of Medicine
License number
LRT-726
Date granted
07/31/1998
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
1151 North 1100 East Shelley ID 83274
idaholicensing.com
ID 48345219
LAST UPDATED 2024-02-13 21:42:21 UTC

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