License holder summary

TAMMY S. ROUSSOPULOS is a Board Of Medicine licensed to practice in Idaho. The address on file for TAMMY S. ROUSSOPULOS is 1188 University Drive Boise ID 83706. This licensed professional license is not current. The license was granted 08/30/1989.

Idaho

Division of Occupational and Professional Licenses

TAMMY S. ROUSSOPULOS
Board Of Medicine
License number
AT-032
Date granted
08/30/1989
Class
Board Of Medicine
Status
Canceled
Address
1188 University Drive Boise ID 83706
idaholicensing.com
ID 48361453
LAST UPDATED 2024-02-13 01:09:19 UTC

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