DANIEL THOMAS BLACKBURN
Idaho RTS-464 Expired
This Idaho license was held by DANIEL THOMAS BLACKBURN. The license is no longer active. It was granted on 04/25/2012 and expired on 03/01/2013
LICENSE DETAILS
- License Number: RTS-464
- Category: Board Of Medicine
- Status: Expired
- Date Granted: 04/25/2012 (about 13 years ago)
- Expiry Date: 03/01/2013 (about 12 years ago)
LOCATIONS
A Residential
222 SOUTH AVE W MISSOULA MT 59801