Idaho
Division of Occupational and Professional Licenses
WENDY KIM SHATTO
Board Of Medicine
License number
LRT-084
Date granted
11/20/1991
Date expires
07/14/1994
Class
Board Of Medicine
Status
Canceled
Address
3855 Barview Blvd Coos Bay OR 97420
idaholicensing.com
ID 48367090
LAST UPDATED 2024-05-03 18:38:59 UTC
LAST UPDATED 2024-05-03 18:38:59 UTC
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