GLEN DAVID SHAPIRO
Idaho TLM-3476 Upgraded
This Idaho license was held by GLEN DAVID SHAPIRO. The license is no longer active. It was granted on 09/02/1974
LICENSE DETAILS
- License Number: TLM-3476
- Category: Board Of Medicine
- Status: Upgraded
- Date Granted: 09/02/1974 (over 50 years ago)
LOCATIONS
A Residential
513 N main St. HAILEY ID 83333