BRIAN L SAMUELS MD - Medical Doctor License in Idaho | # 036070020

BRIAN L SAMUELS MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036070020

License Status

INACTIVE

Business

N

First Name

BRIAN L

Last Name

SAMUELS

Suffix

MD

Business Name

BRIAN L SAMUELS MD

Original Issue Date

01/16/1985

Effective Date

01/16/1985

Expiration Date

07/31/2005

State

ID

Ever Disciplined

N

LastModifiedDate

10/30/2012