Idaho
Division of Occupational and Professional Licenses
SAMUAL PHILLIP BASS
Board Of Medicine
License number
M-9570
Date granted
05/01/2006
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
300 E. JEFFERSON, STE 101 BOISE ID 83712
idaholicensing.com
ID 48337614
LAST UPDATED 2024-03-14 17:18:13 UTC
LAST UPDATED 2024-03-14 17:18:13 UTC
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