MR. SHANE JERALD VLCEK
Idaho PAT-706 Expired
This Idaho license was held by MR. SHANE JERALD VLCEK. The license is no longer active. It was granted on 08/12/2009 and expired on 08/31/2010
LICENSE DETAILS
- License Number: PAT-706
- Category: Board Of Medicine
- Status: Expired
- Date Granted: 08/12/2009 (over 15 years ago)
- Expiry Date: 08/31/2010 (over 14 years ago)
LOCATIONS
A Residential
PO BOX 9 NAMPA ID 83653