SHANE MICHAEL OSGOOD
Idaho AT-509 Canceled
This Idaho license was held by SHANE MICHAEL OSGOOD. The license is no longer active. It was granted on 07/02/2014 and expired on 08/03/2015
LICENSE DETAILS
- License Number: AT-509
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 07/02/2014 (almost 11 years ago)
- Expiry Date: 08/03/2015 (almost 10 years ago)
LOCATIONS
A Residential
2091 MULHOLLAND RD PAINTED POST NY 14870