The holder whose full name is Shelley, David J.,come from Pocatello ID,hold the Physician license(NO.01060001A) which status is Expired Non-Renewable.
| Name | Shelley, David J. |
|---|---|
| License Number | 01060001A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Pocatello |
| State | ID |