License holder summary

SHANE CHRISTIAN MANGRUM is a Physician - Physician & Surgeon licensed to practice in Utah. The address on file for SHANE CHRISTIAN MANGRUM is IDAHO FALLS, ID 83404. This licensed professional license is current. The license was granted 11/15/2002 and expired on 01/31/2016.

Utah

Division of Occupational and Professional Licensing

SHANE CHRISTIAN MANGRUM
Physician - Physician & Surgeon
License number
5181507-1205
Date granted
11/15/2002
Date expires
01/31/2016
Class
Physician - Physician & Surgeon
Status
Active
Address
IDAHO FALLS, ID 83404
utahlicensing.org
ID 29934600
LAST UPDATED 2024-03-14 18:07:08 UTC

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