License holder summary

SAMUEL A MONGER is a Board Of Medicine licensed to practice in Idaho. The address on file for SAMUEL A MONGER is 1011 Crumarine Loop Rd Moscow ID 83843. This licensed professional license is not current. The license was granted 07/07/1974 and expired on 06/30/2005.

Idaho

Division of Occupational and Professional Licenses

SAMUEL A MONGER
Board Of Medicine
License number
M-3260
Date granted
07/07/1974
Date expires
06/30/2005
Class
Board Of Medicine
Status
Canceled
Address
1011 Crumarine Loop Rd Moscow ID 83843
idaholicensing.com
ID 48359286
LAST UPDATED 2024-05-05 21:50:28 UTC

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