BLAINE LEE MASSEY

Idaho  MSO-0181   Expired

This Idaho license was held by BLAINE LEE MASSEY. The license is no longer active. It was granted on 02/24/2016 and expired on 06/30/2016

LICENSE DETAILS

  • License Number: MSO-0181
  • Category: Board Of Medicine
  • Status: Expired
  • Date Granted: 02/24/2016 (about 9 years ago)
  • Expiry Date: 06/30/2016 (almost 9 years ago)

LOCATIONS

A Residential

2440 MOUNTAIN RIVER DR LEBANON OR 97355