License holder summary

SAMANTHA ANN DICUS is a Board Of Medicine licensed to practice in Idaho. The address on file for SAMANTHA ANN DICUS is 2401 E GREEN CANYON DR MERIDIAN ID 83642. This licensed professional license is not current. The license was granted 11/16/2012 and expired on 08/01/2013.

Idaho

Division of Occupational and Professional Licenses

SAMANTHA ANN DICUS
Board Of Medicine
License number
AT-450
Date granted
11/16/2012
Date expires
08/01/2013
Class
Board Of Medicine
Status
Canceled
Address
2401 E GREEN CANYON DR MERIDIAN ID 83642
idaholicensing.com
ID 48344604
LAST UPDATED 2024-02-11 07:46:57 UTC

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