MS. SAMANTHA PATRICIA BOURASSA
Idaho AT-436 Renewed
This Idaho license is held by MS. SAMANTHA PATRICIA BOURASSA. The license is currently active. It was granted on 08/22/2012 and expired on 06/30/2017
LICENSE DETAILS
- License Number: AT-436
- Category: Board Of Medicine
- Status: Renewed
- Date Granted: 08/22/2012 (over 11 years ago)
- Expiry Date: 06/30/2017 (almost 7 years ago)
LOCATIONS
A Residential
1852 DIPPER LOOP POST FALLS ID 83854
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