BRENDA SHAW

Idaho  PA-587   Renewed

This Idaho license is held by BRENDA SHAW. The license is currently active. It was granted on 10/31/2005 and expired on 06/30/2017

LICENSE DETAILS

  • License Number: PA-587
  • Category: Board Of Medicine
  • Status: Renewed
  • Date Granted: 10/31/2005 (over 18 years ago)
  • Expiry Date: 06/30/2017 (almost 7 years ago)

LOCATIONS

A Residential

4750 N Five Mile Rd Boise ID 83713