Idaho
Division of Occupational and Professional Licenses
SHELLEY CANCEL LOUISE 8/21/81 WOOD
Board Of Medicine
License number
RPA-31
Date granted
08/15/1979
Date expires
08/21/1981
Class
Board Of Medicine
Status
Canceled
Address
6813 Maxwell Lane Boise ID 83704
idaholicensing.com
ID 48361171
LAST UPDATED 2024-04-01 17:08:59 UTC
LAST UPDATED 2024-04-01 17:08:59 UTC
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