BLAKE DANIEL ALEXANDER
Idaho M-8227 Canceled
This Idaho license was held by BLAKE DANIEL ALEXANDER. The license is no longer active. It was granted on 06/02/2001 and expired on 06/30/2007
LICENSE DETAILS
- License Number: M-8227
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 06/02/2001 (about 24 years ago)
- Expiry Date: 06/30/2007 (almost 18 years ago)
LOCATIONS
A Residential
PO BOX 4908 POCATELLO ID 83205