BENJAMIN BLAIR
Idaho SPHY-7032 Canceled
This Idaho license was held by BENJAMIN BLAIR. The license is no longer active. It was granted on 10/06/2010 and expired on 02/01/2012
LICENSE DETAILS
- License Number: SPHY-7032
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 10/06/2010 (over 14 years ago)
- Expiry Date: 02/01/2012 (over 13 years ago)
LOCATIONS
A Residential
333 N 18th Ave D1 Pocatello ID 83201