License holder summary

LUKE ADAM POULTER is a Board Of Medicine licensed to practice in Idaho. The address on file for LUKE ADAM POULTER is 535 COMMANCHE DR REXBURG ID 83440. This licensed professional license is not current. The license was granted 06/29/2012 and expired on 06/29/2013.

Idaho

Division of Occupational and Professional Licenses

LUKE ADAM POULTER
Board Of Medicine
License number
MSM-0187
Date granted
06/29/2012
Date expires
06/29/2013
Class
Board Of Medicine
Status
Expired
Address
535 COMMANCHE DR REXBURG ID 83440
idaholicensing.com
ID 48357832
LAST UPDATED 2024-03-02 17:49:38 UTC

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