Idaho
Division of Occupational and Professional Licenses
SAMUEL R LONG
Idaho Board Of Examiners Of Nursing Home Administr - Nursing Home Administrator
License number
NHA - 617
Date granted
01/08/2002
Date expires
01/20/2016
Class
Idaho Board Of Examiners Of Nursing Home Administr - Nursing Home Administrator
Status
Not Current
Address
MERIDIAN ID 83646
idaholicensing.com
ID 19680554
LAST UPDATED 2024-02-29 04:12:44 UTC
LAST UPDATED 2024-02-29 04:12:44 UTC
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