ROBERT A BLOME

Idaho  M-2631   Canceled

This Idaho license was held by ROBERT A BLOME. The license is no longer active. It was granted on 01/13/1964 and expired on 06/30/2004

LICENSE DETAILS

  • License Number: M-2631
  • Category: Board Of Medicine
  • Status: Canceled
  • Date Granted: 01/13/1964 (over 61 years ago)
  • Expiry Date: 06/30/2004 (almost 21 years ago)

LOCATIONS

A Residential

13542 Roosevelt Nampa ID 83686