EDWARD B SHAW
Idaho M-2579 Deceased
This Idaho license was held by EDWARD B SHAW. The license is no longer active. It was granted on 07/10/1962
LICENSE DETAILS
- License Number: M-2579
- Category: Board Of Medicine
- Status: Deceased
- Date Granted: 07/10/1962 (almost 62 years ago)
LOCATIONS
A Residential
246 North 18th Avenue Pocatello ID 83201