Idaho
Division of Occupational and Professional Licenses
RICHARD ROY SAMUEL
Board Of Medicine
License number
M-7185
Date granted
03/08/1997
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
8880 N HESS ST STE 1 HAYDEN ID 83835
idaholicensing.com
ID 48359879
LAST UPDATED 2024-04-22 23:13:26 UTC
LAST UPDATED 2024-04-22 23:13:26 UTC
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