NATALIA MARY BLACKSTONE
Idaho LRT-841 Canceled
This Idaho license was held by NATALIA MARY BLACKSTONE. The license is no longer active. It was granted on 09/29/2000 and expired on 07/03/2001
LICENSE DETAILS
- License Number: LRT-841
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 09/29/2000 (almost 26 years ago)
- Expiry Date: 07/03/2001 (about 25 years ago)
LOCATIONS
A Residential
12415 Birnamwood Ct. Burnsville MN 55337