Dr. SHANE Gary MACHEN
Idaho O-0611 Renewed
This Idaho license is held by Dr. SHANE Gary MACHEN. The license is currently active. It was granted on 04/29/2011 and expired on 06/30/2018
LICENSE DETAILS
- License Number: O-0611
- Category: Board Of Medicine
- Status: Renewed
- Date Granted: 04/29/2011 (almost 14 years ago)
- Expiry Date: 06/30/2018 (almost 7 years ago)
LOCATIONS
A Residential
3500 Potomac Way Idaho Falls ID 83404
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