License holder summary

Kathleen Anne Shore DO is a Osteopathic Physician licensed to practice in Arizona. The address on file for Kathleen Anne Shore DO is Phoenix Baptist Family Medicine Residency, 2000 W. Bethany Home, Phoenix AZ 85015. This licensed professional license is not current. The license was granted 05/12/2009.

Arizona

Board of Licensing

Kathleen Anne Shore DO
Osteopathic Physician
License number
005263
Date granted
05/12/2009
Class
Osteopathic Physician
Status
Expired
Address
Phoenix Baptist Family Medicine Residency, 2000 W. Bethany Home, Phoenix AZ 85015
arizonalicensing.com
ID 22377059
LAST UPDATED 2024-04-23 16:14:51 UTC

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