JAMES RUSSELL BLACKMAN
Idaho M-5338 Canceled
This Idaho license was held by JAMES RUSSELL BLACKMAN. The license is no longer active. It was granted on 03/05/1988 and expired on 06/30/2007
LICENSE DETAILS
- License Number: M-5338
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 03/05/1988 (about 37 years ago)
- Expiry Date: 06/30/2007 (almost 18 years ago)
LOCATIONS
A Residential
777 N Raymond Boise ID 83704