Idaho
Division of Occupational and Professional Licenses
SHIRLEY ALICE GODFREY
Board Of Medicine
License number
LRT-1140
Date granted
10/24/2005
Date expires
08/01/2016
Class
Board Of Medicine
Status
Canceled
Address
20987 N JOHN WAYN PKWY MARICOPA AZ 85139
idaholicensing.com
ID 48344998
LAST UPDATED 2024-02-27 18:12:58 UTC
LAST UPDATED 2024-02-27 18:12:58 UTC
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