SANDRA D BLACKMON
Idaho LRT-1220 Canceled
This Idaho license was held by SANDRA D BLACKMON. The license is no longer active. It was granted on 01/16/2007 and expired on 08/01/2009
LICENSE DETAILS
- License Number: LRT-1220
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 01/16/2007 (over 17 years ago)
- Expiry Date: 08/01/2009 (over 14 years ago)
LOCATIONS
A Residential
435 N 35th Ave #497 Greeley CO 80631