JENNIFER RYAN BLACKLER
Idaho PA-795 Canceled
This Idaho license was held by JENNIFER RYAN BLACKLER. The license is no longer active. It was granted on 03/18/2009 and expired on 08/01/2012
LICENSE DETAILS
- License Number: PA-795
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 03/18/2009 (over 17 years ago)
- Expiry Date: 08/01/2012 (about 14 years ago)
LOCATIONS
A Residential
777 N. Raymond Street Boise ID 83704