Idaho
Division of Occupational and Professional Licenses
SHIRLEY MAE BOATWRIGHT
Board Of Medicine
License number
LRT-558
Date granted
05/29/1996
Date expires
06/30/2005
Class
Board Of Medicine
Status
Canceled
Address
7604 W Highland Dr Coeur d Alene ID 83814
idaholicensing.com
ID 48338079
LAST UPDATED 2024-04-16 19:33:18 UTC
LAST UPDATED 2024-04-16 19:33:18 UTC
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