MICHAEL CLYDE SHAW
Idaho M-7732 Canceled
This Idaho license was held by MICHAEL CLYDE SHAW. The license is no longer active. It was granted on 05/06/1999 and expired on 06/30/2003
LICENSE DETAILS
- License Number: M-7732
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 05/06/1999 (about 25 years ago)
- Expiry Date: 06/30/2003 (about 21 years ago)
LOCATIONS
A Residential
330 E 200 S Brigham City UT 84302