Idaho
Division of Occupational and Professional Licenses
DAVID BRIAN SOUVENIR
Board Of Medicine
License number
M-6774
Date granted
07/07/1995
Date expires
07/02/1998
Class
Board Of Medicine
Status
Canceled
Address
KOOTENAI MEDICAL CENTER COEUR D ALENE ID 83814
idaholicensing.com
ID 48354919
LAST UPDATED 2026-03-21 15:14:56 UTC
LAST UPDATED 2026-03-21 15:14:56 UTC
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