SHANNON PECK
Idaho PAT-664 Expired
This Idaho license was held by SHANNON PECK. The license is no longer active. It was granted on 10/01/2008 and expired on 07/30/2010
LICENSE DETAILS
- License Number: PAT-664
- Category: Board Of Medicine
- Status: Expired
- Date Granted: 10/01/2008 (over 16 years ago)
- Expiry Date: 07/30/2010 (almost 15 years ago)
LOCATIONS
A Residential
1632 BENCH RD POCATELLO ID 83201