License holder summary

SAMUEL DAVID GARDNER is a Board Of Medicine licensed to practice in Idaho. The address on file for SAMUEL DAVID GARDNER is 805 MAIN ST SALMON ID 83467. This licensed professional license is current. The license was granted 01/13/1997 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

SAMUEL DAVID GARDNER
Board Of Medicine
License number
O-174
Date granted
01/13/1997
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
805 MAIN ST SALMON ID 83467
idaholicensing.com
ID 48345483
LAST UPDATED 2024-03-10 00:51:16 UTC

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