ALISSA MARIE SHAW
Idaho RTS-111 Expired
This Idaho license was held by ALISSA MARIE SHAW. The license is no longer active. It was granted on 05/25/2007 and expired on 12/14/2007
LICENSE DETAILS
- License Number: RTS-111
- Category: Board Of Medicine
- Status: Expired
- Date Granted: 05/25/2007 (about 17 years ago)
- Expiry Date: 12/14/2007 (over 16 years ago)
LOCATIONS
A Residential
621 FOOTHILL DRIVE ONTARIO OR 97914