JAMES RUSSELL BLACKMAN
Idaho TLM-1722 Upgraded
This Idaho license was held by JAMES RUSSELL BLACKMAN. The license is no longer active. It was granted on 01/25/1988
LICENSE DETAILS
- License Number: TLM-1722
- Category: Board Of Medicine
- Status: Upgraded
- Date Granted: 01/25/1988 (over 37 years ago)
LOCATIONS
A Residential
777 N Raymond Boise ID 83704