SHANE KELLY BALL

Idaho  M-9350   Renewed

This Idaho license is held by SHANE KELLY BALL. The license is currently active. It was granted on 08/26/2005 and expired on 06/30/2017

LICENSE DETAILS

  • License Number: M-9350
  • Category: Board Of Medicine
  • Status: Renewed
  • Date Granted: 08/26/2005 (over 18 years ago)
  • Expiry Date: 06/30/2017 (almost 7 years ago)

LOCATIONS

A Residential

190 E Bannock Boise ID 83712