CLARENCE LOUIS BLAHNIK

Idaho  M-6128   Canceled

This Idaho license was held by CLARENCE LOUIS BLAHNIK. The license is no longer active. It was granted on 12/05/1992 and expired on 07/02/1993

LICENSE DETAILS

  • License Number: M-6128
  • Category: Board Of Medicine
  • Status: Canceled
  • Date Granted: 12/05/1992 (over 32 years ago)
  • Expiry Date: 07/02/1993 (almost 32 years ago)

LOCATIONS

A Residential

12025 S. Sunrise Cir. Idaho Falls ID 83404