BLANE ANTHONY WOODFIN

Idaho  M-8475   Canceled

This Idaho license was held by BLANE ANTHONY WOODFIN. The license is no longer active. It was granted on 04/01/2002 and expired on 08/01/2008

LICENSE DETAILS

  • License Number: M-8475
  • Category: Board Of Medicine
  • Status: Canceled
  • Date Granted: 04/01/2002 (over 22 years ago)
  • Expiry Date: 08/01/2008 (almost 16 years ago)

LOCATIONS

A Residential

555 East Broadway Jackson WY 83001