RANDALL A BLACK
Idaho O-0445 Renewed
This Idaho license is held by RANDALL A BLACK. The license is currently active. It was granted on 05/01/2007 and expired on 06/30/2018
LICENSE DETAILS
- License Number: O-0445
- Category: Board Of Medicine
- Status: Renewed
- Date Granted: 05/01/2007 (almost 17 years ago)
- Expiry Date: 06/30/2018 (almost 6 years ago)
LOCATIONS
A Residential
1512 12th Ave. Rd. NAMPA ID 83686
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