BLAKE VON CHAMBERLAIN

Idaho  M-6397   Canceled

This Idaho license was held by BLAKE VON CHAMBERLAIN. The license is no longer active. It was granted on 12/04/1993 and expired on 07/02/1998

LICENSE DETAILS

  • License Number: M-6397
  • Category: Board Of Medicine
  • Status: Canceled
  • Date Granted: 12/04/1993 (over 31 years ago)
  • Expiry Date: 07/02/1998 (almost 27 years ago)

LOCATIONS

A Residential

2830 Redland Crk San Antonio TX 78259