GLEN DAVID SHAPIRO
Idaho M-9172 Renewed
This Idaho license is held by GLEN DAVID SHAPIRO. The license is currently active. It was granted on 12/03/2004 and expired on 06/30/2017
LICENSE DETAILS
- License Number: M-9172
- Category: Board Of Medicine
- Status: Renewed
- Date Granted: 12/03/2004 (over 20 years ago)
- Expiry Date: 06/30/2017 (almost 8 years ago)
LOCATIONS
A Residential
513 N main St. HAILEY ID 83333
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