BLAKE DANIEL ALEXANDER
Idaho TLM-3018 Upgraded
This Idaho license was held by BLAKE DANIEL ALEXANDER. The license is no longer active. It was granted on 04/08/2001
LICENSE DETAILS
- License Number: TLM-3018
- Category: Board Of Medicine
- Status: Upgraded
- Date Granted: 04/08/2001 (about 24 years ago)
LOCATIONS
A Residential
PO BOX 4908 POCATELLO ID 83205