CHARLES G. BLACKBURN
Idaho M-2083 Deceased
This Idaho license was held by CHARLES G. BLACKBURN. The license is no longer active. It was granted on 07/10/1951 and expired on 07/10/1951
LICENSE DETAILS
- License Number: M-2083
- Category: Board Of Medicine
- Status: Deceased
- Date Granted: 07/10/1951 (over 72 years ago)
- Expiry Date: 07/10/1951 (over 72 years ago)
LOCATIONS
A Residential
800 LaCassia Drive Boise ID 83705