License holder summary

MOUSOOMI MITRA SUR is a Board Of Medicine licensed to practice in Idaho. The address on file for MOUSOOMI MITRA SUR is ST LUKES FAMILY HEALTH BOISE ID 83716. This licensed professional license is current. The license was granted 07/17/2006 and expired on 06/30/2018.

Idaho

Division of Occupational and Professional Licenses

MOUSOOMI MITRA SUR
Board Of Medicine
License number
M-9645
Date granted
07/17/2006
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
ST LUKES FAMILY HEALTH BOISE ID 83716
idaholicensing.com
ID 48371297
LAST UPDATED 2024-03-31 15:39:30 UTC

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