License holder summary

MICHELLE MARIE SAMUELS is a Board Of Medicine licensed to practice in Idaho. The address on file for MICHELLE MARIE SAMUELS is 2003 Kootenai Health Way Coeur D Alene ID 83814. This licensed professional license is current. The license was granted 07/14/2010 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

MICHELLE MARIE SAMUELS
Board Of Medicine
License number
LRT-1462
Date granted
07/14/2010
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
2003 Kootenai Health Way Coeur D Alene ID 83814
idaholicensing.com
ID 48357740
LAST UPDATED 2024-03-10 01:17:35 UTC

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