SHANE COURTLAND MUSGROVE

Idaho  PAT-1105   Expired

This Idaho license was held by SHANE COURTLAND MUSGROVE. The license is no longer active. It was granted on 09/11/2013 and expired on 08/05/2016

LICENSE DETAILS

  • License Number: PAT-1105
  • Category: Board Of Medicine
  • Status: Expired
  • Date Granted: 09/11/2013 (over 10 years ago)
  • Expiry Date: 08/05/2016 (almost 8 years ago)

LOCATIONS

A Residential

581 N WHITEWATER PARK BLVD #D207 BOISE ID 83702