License holder summary

TYLER JAY SHAW is a Board Of Medicine licensed to practice in Idaho. The address on file for TYLER JAY SHAW is 125 CHASE ST POCATELLO ID 83201. This licensed professional license is not current. The license was granted 09/25/2014 and expired on 08/05/2016.

Idaho

Division of Occupational and Professional Licenses

TYLER JAY SHAW
Board Of Medicine
License number
PAT-1200
Date granted
09/25/2014
Date expires
08/05/2016
Class
Board Of Medicine
Status
Expired
Address
125 CHASE ST POCATELLO ID 83201
idaholicensing.com
ID 48339562
LAST UPDATED 2024-03-12 13:04:42 UTC

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