License holder summary

SAMANTHA JANE PORTENIER is a Board Of Medicine licensed to practice in Idaho. The address on file for SAMANTHA JANE PORTENIER is 315 E ELM ST #100 CALDWELL ID 83605. This licensed professional license is current. The license was granted 07/23/1998 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

SAMANTHA JANE PORTENIER
Board Of Medicine
License number
M-7546
Date granted
07/23/1998
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
315 E ELM ST #100 CALDWELL ID 83605
idaholicensing.com
ID 48360260
LAST UPDATED 2024-05-07 05:05:06 UTC

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