License holder summary

Dr. SAMUEL PATRICK DOUGLASS is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. SAMUEL PATRICK DOUGLASS is 972 N. ELKRIVER WAY EAGLE ID 83616. This licensed professional license is not current. The license was granted 10/27/2014 and expired on 06/30/2015.

Idaho

Division of Occupational and Professional Licenses

Dr. SAMUEL PATRICK DOUGLASS
Board Of Medicine
License number
MSO-0115
Date granted
10/27/2014
Date expires
06/30/2015
Class
Board Of Medicine
Status
Expired
Address
972 N. ELKRIVER WAY EAGLE ID 83616
idaholicensing.com
ID 48337782
LAST UPDATED 2024-03-08 14:45:22 UTC

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