SHANE ARTHUR BAKER
Idaho M-8881 Canceled
This Idaho license was held by SHANE ARTHUR BAKER. The license is no longer active. It was granted on 09/13/2003 and expired on 06/30/2005
LICENSE DETAILS
- License Number: M-8881
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 09/13/2003 (almost 22 years ago)
- Expiry Date: 06/30/2005 (almost 20 years ago)
LOCATIONS
A Residential
1158 N HONEYSUCKLE LN VINCENNES IN 47591