BRIAN L SAMUELS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036070020

License Status

INACTIVE

Business

First Name

BRIAN L

Last Name

SAMUELS

Suffix

Business Name

BRIAN L SAMUELS MD

Original Issue Date

01/16/1985

Effective Date

01/16/1985

Expiration Date

07/31/2005

City

COEUR D ALENE

State

Zip

83814

County

IDAHO

Ever Disciplined

LastModifiedDate

10/30/2012