License holder summary

MICHAEL ROBERT POULOS is a Board Of Medicine licensed to practice in Idaho. The address on file for MICHAEL ROBERT POULOS is 6180 BIRCH LN APT 304 NAMPA ID 83687. This licensed professional license is current. The license was granted 05/05/2015 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

MICHAEL ROBERT POULOS
Board Of Medicine
License number
MSO-0140
Date granted
05/05/2015
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
6180 BIRCH LN APT 304 NAMPA ID 83687
idaholicensing.com
ID 48361589
LAST UPDATED 2024-02-19 08:39:45 UTC

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