License holder summary

SAMANTHA RUTH DAVIS is a Board Of Medicine licensed to practice in Idaho. The address on file for SAMANTHA RUTH DAVIS is 9612 GOLDEN WILLOW ST MIDDLETON ID 83644. This licensed professional license is current. The license was granted 10/01/2015 and expired on 08/04/2017.

Idaho

Division of Occupational and Professional Licenses

SAMANTHA RUTH DAVIS
Board Of Medicine
License number
PAT-1306
Date granted
10/01/2015
Date expires
08/04/2017
Class
Board Of Medicine
Status
Licensed
Address
9612 GOLDEN WILLOW ST MIDDLETON ID 83644
idaholicensing.com
ID 48339122
LAST UPDATED 2024-01-27 16:10:43 UTC

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