Idaho
Division of Occupational and Professional Licenses
BLAKE DANIEL ALEXANDER
Board Of Medicine
License number
M-8227
Date granted
06/02/2001
Date expires
06/30/2007
Class
Board Of Medicine
Status
Canceled
Address
PO BOX 4908 POCATELLO ID 83205
idaholicensing.com
ID 48335504
LAST UPDATED 2024-02-27 06:42:34 UTC
LAST UPDATED 2024-02-27 06:42:34 UTC
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