KATHLEEN HANNAH BLACKBURN
Idaho M-6120 Renewed
This Idaho license is held by KATHLEEN HANNAH BLACKBURN. The license is currently active. It was granted on 12/05/1992 and expired on 06/30/2018
LICENSE DETAILS
- License Number: M-6120
- Category: Board Of Medicine
- Status: Renewed
- Date Granted: 12/05/1992 (over 31 years ago)
- Expiry Date: 06/30/2018 (almost 6 years ago)
LOCATIONS
A Residential
500 W Fort St Boise ID 83702
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