SHANE ALAN MAXWELL
Idaho O-0385 Renewed
This Idaho license is held by SHANE ALAN MAXWELL. The license is currently active. It was granted on 03/03/2006 and expired on 06/30/2017
LICENSE DETAILS
- License Number: O-0385
- Category: Board Of Medicine
- Status: Renewed
- Date Granted: 03/03/2006 (about 19 years ago)
- Expiry Date: 06/30/2017 (almost 8 years ago)
LOCATIONS
A Residential
8950 W EMERALD STE 168 BOISE ID 83704
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