Idaho
Division of Occupational and Professional Licenses
TRAVIS SHANE MARSHALL
Board Of Medicine
License number
MSM-0580
Date granted
06/25/2015
Date expires
06/30/2016
Class
Board Of Medicine
Status
Expired
Address
322 E FRONT ST SUITE 590 BOISE ID 83702
idaholicensing.com
ID 48367076
LAST UPDATED 2026-04-06 23:12:34 UTC
LAST UPDATED 2026-04-06 23:12:34 UTC
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