NATALIE ANN DOMANGUE-SHIFLETT
Idaho SPHY-9985 Canceled
This Idaho license was held by NATALIE ANN DOMANGUE-SHIFLETT. The license is no longer active. It was granted on 05/17/2010 and expired on 02/01/2013
LICENSE DETAILS
- License Number: SPHY-9985
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 05/17/2010 (about 14 years ago)
- Expiry Date: 02/01/2013 (over 11 years ago)
LOCATIONS
A Residential
4750 N Five Mile Rd Boise ID 83713