Dr. SHANE Gary MACHEN
Idaho SPHY-0611 Licensed
This Idaho license is held by Dr. SHANE Gary MACHEN. The license is currently active. It was granted on 05/25/2016 and expired on 12/31/2016
LICENSE DETAILS
- License Number: SPHY-0611
- Category: Board Of Medicine
- Status: Licensed
- Date Granted: 05/25/2016 (almost 9 years ago)
- Expiry Date: 12/31/2016 (over 8 years ago)
LOCATIONS
A Residential
3500 Potomac Way Idaho Falls ID 83404
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