PHILIP CLARKE BLUM
Idaho TLM-3037 Upgraded
This Idaho license was held by PHILIP CLARKE BLUM. The license is no longer active. It was granted on 05/31/2001
LICENSE DETAILS
- License Number: TLM-3037
- Category: Board Of Medicine
- Status: Upgraded
- Date Granted: 05/31/2001 (almost 23 years ago)
LOCATIONS
A Residential
PO BOX 13215 JACKSON WY 83002