SHANNON JENSON GRABER
Idaho M-7562 Canceled
This Idaho license was held by SHANNON JENSON GRABER. The license is no longer active. It was granted on 08/24/1998 and expired on 06/30/2001
LICENSE DETAILS
- License Number: M-7562
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 08/24/1998 (over 25 years ago)
- Expiry Date: 06/30/2001 (almost 23 years ago)
LOCATIONS
A Residential
4632 Edwards Ave Missoula MT 59804