License holder summary

VICKI WEISS SHAPIRO is a Board Of Medicine licensed to practice in Idaho. The address on file for VICKI WEISS SHAPIRO is 98 Poplar St Blackfoot ID 83221. This licensed professional license is current. The license was granted 10/28/2004 and expired on 06/30/2018.

Idaho

Division of Occupational and Professional Licenses

VICKI WEISS SHAPIRO
Board Of Medicine
License number
M-9163
Date granted
10/28/2004
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
98 Poplar St Blackfoot ID 83221
idaholicensing.com
ID 48337133
LAST UPDATED 2024-04-03 23:37:50 UTC

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