Dr. SAMUEL PATRICK DOUGLASS
Idaho MSO-0115 Expired
This Idaho license was held by Dr. SAMUEL PATRICK DOUGLASS. The license is no longer active. It was granted on 10/27/2014 and expired on 06/30/2015
LICENSE DETAILS
- License Number: MSO-0115
- Category: Board Of Medicine
- Status: Expired
- Date Granted: 10/27/2014 (over 9 years ago)
- Expiry Date: 06/30/2015 (about 9 years ago)
LOCATIONS
A Residential
972 N. ELKRIVER WAY EAGLE ID 83616