Idaho
Division of Occupational and Professional Licenses
SHONI EVE COSTANTI
Board Of Medicine
License number
PAT-899
Date granted
09/13/2011
Date expires
08/09/2013
Class
Board Of Medicine
Status
Expired
Address
1191 E WASHINGTON ST BOISE ID 83712
idaholicensing.com
ID 48360772
LAST UPDATED 2024-02-04 15:30:05 UTC
LAST UPDATED 2024-02-04 15:30:05 UTC
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