License holder summary

SAMUEL IVAN WASMANN is a Board Of Medicine licensed to practice in Idaho. The address on file for SAMUEL IVAN WASMANN is 500 W FORT ST BOISE ID 83702. This licensed professional license is not current. The license was granted 06/17/2005 and expired on 06/30/2006.

Idaho

Division of Occupational and Professional Licenses

SAMUEL IVAN WASMANN
Board Of Medicine
License number
MRM-0843
Date granted
06/17/2005
Date expires
06/30/2006
Class
Board Of Medicine
Status
Expired
Address
500 W FORT ST BOISE ID 83702
idaholicensing.com
ID 48369515
LAST UPDATED 2024-05-04 16:47:29 UTC

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