Idaho
Division of Occupational and Professional Licenses
SHETISHA D EWING
Board Of Medicine
License number
LRT-1753
Date granted
02/13/2014
Date expires
08/01/2014
Class
Board Of Medicine
Status
Canceled
Address
5312 FLAGSTONE DR ANTIOCH TN 37013
idaholicensing.com
ID 48349087
LAST UPDATED 2024-02-11 02:01:13 UTC
LAST UPDATED 2024-02-11 02:01:13 UTC
This website is unaffiliated with the Division of Occupational and Professional Licenses. Please verify all information directly with the relevant official government authority.