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 2026-05-11 21:52:41 UTC
LAST UPDATED 2026-05-11 21:52:41 UTC
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