License holder summary

TERRY DANIEL SHUPE is a Board Of Medicine licensed to practice in Idaho. The address on file for TERRY DANIEL SHUPE is 2575 SW ANCHOR AVE. LINCOLN CITY OR 97367. This licensed professional license is not current. The license was granted 01/30/1998 and expired on 08/01/2009.

Idaho

Division of Occupational and Professional Licenses

TERRY DANIEL SHUPE
Board Of Medicine
License number
LRT-685
Date granted
01/30/1998
Date expires
08/01/2009
Class
Board Of Medicine
Status
Canceled
Address
2575 SW ANCHOR AVE. LINCOLN CITY OR 97367
idaholicensing.com
ID 48353648
LAST UPDATED 2024-04-25 06:08:02 UTC

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