SAMUEL IVAN WASMANN
Idaho MRM-0843 Expired
This Idaho license was held by SAMUEL IVAN WASMANN. The license is no longer active. It was granted on 06/17/2005 and expired on 06/30/2006
LICENSE DETAILS
- License Number: MRM-0843
- Category: Board Of Medicine
- Status: Expired
- Date Granted: 06/17/2005 (almost 19 years ago)
- Expiry Date: 06/30/2006 (almost 18 years ago)
LOCATIONS
A Residential
500 W FORT ST BOISE ID 83702