SHANE ALLEN WEARE
Idaho MSO-0218 Licensed
This Idaho license is held by SHANE ALLEN WEARE. The license is currently active. It was granted on 07/18/2016 and expired on 06/30/2017
LICENSE DETAILS
- License Number: MSO-0218
- Category: Board Of Medicine
- Status: Licensed
- Date Granted: 07/18/2016 (almost 8 years ago)
- Expiry Date: 06/30/2017 (almost 7 years ago)
LOCATIONS
A Residential
4519 ENTERPRISE WAY CALDWELL ID 83605
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