License holder summary

ANOMI LASANTHIMALA SAMARAKKODY is a Board Of Medicine licensed to practice in Idaho. The address on file for ANOMI LASANTHIMALA SAMARAKKODY is 7515 W Florence Lane Apt 101 Boise ID 83704. This licensed professional license is not current. The license was granted 07/15/1998 and expired on 07/02/1999.

Idaho

Division of Occupational and Professional Licenses

ANOMI LASANTHIMALA SAMARAKKODY
Board Of Medicine
License number
LRT-725
Date granted
07/15/1998
Date expires
07/02/1999
Class
Board Of Medicine
Status
Canceled
Address
7515 W Florence Lane Apt 101 Boise ID 83704
idaholicensing.com
ID 48335388
LAST UPDATED 2024-04-15 20:49:15 UTC

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