JOEL MARK BLASS
Idaho LRT-1143 Canceled
This Idaho license was held by JOEL MARK BLASS. The license is no longer active. It was granted on 12/09/2005 and expired on 06/30/2014
LICENSE DETAILS
- License Number: LRT-1143
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 12/09/2005 (over 19 years ago)
- Expiry Date: 06/30/2014 (almost 11 years ago)
LOCATIONS
A Residential
3632 THOUSAND OAKS DR SAN JOSE CA 95136