GLENN DAVID BLAISDELL
Idaho M-3166 Canceled
This Idaho license was held by GLENN DAVID BLAISDELL. The license is no longer active. It was granted on 07/15/1973 and expired on 07/15/1973
LICENSE DETAILS
- License Number: M-3166
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 07/15/1973 (almost 52 years ago)
- Expiry Date: 07/15/1973 (almost 52 years ago)
LOCATIONS
A Residential
850 Boulder Drive Green River WY 82935