JAMES RUSSELL BLACKMAN
Idaho SPHY-5338 Canceled
This Idaho license was held by JAMES RUSSELL BLACKMAN. The license is no longer active. It was granted on 02/16/2005 and expired on 12/31/2006
LICENSE DETAILS
- License Number: SPHY-5338
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 02/16/2005 (about 20 years ago)
- Expiry Date: 12/31/2006 (over 18 years ago)
LOCATIONS
A Residential
777 N Raymond Boise ID 83704