SHANE ALEXANDER ANDREW

Idaho  O-0443   Renewed

This Idaho license is held by SHANE ALEXANDER ANDREW. The license is currently active. It was granted on 04/27/2007 and expired on 06/30/2017

LICENSE DETAILS

  • License Number: O-0443
  • Category: Board Of Medicine
  • Status: Renewed
  • Date Granted: 04/27/2007 (almost 18 years ago)
  • Expiry Date: 06/30/2017 (almost 8 years ago)

LOCATIONS

A Residential

4400 E. Flamingo Ave. Nampa ID 83687