Idaho
Division of Occupational and Professional Licenses
STEPHEN SHITARA
Board Of Medicine
License number
LRT-1240
Date granted
05/10/2007
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
26 Hill Creek Rd. Horseshoe Bend ID 83629
idaholicensing.com
ID 48355323
LAST UPDATED 2024-04-21 00:37:21 UTC
LAST UPDATED 2024-04-21 00:37:21 UTC
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