Idaho
Division of Occupational and Professional Licenses
MS. SAMANTHA PATRICIA BOURASSA
Board Of Medicine
License number
AT-436
Date granted
08/22/2012
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
1852 DIPPER LOOP POST FALLS ID 83854
idaholicensing.com
ID 48337643
LAST UPDATED 2024-03-15 07:24:52 UTC
LAST UPDATED 2024-03-15 07:24:52 UTC
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