Idaho
Division of Occupational and Professional Licenses
ALAN NOEL BLAKE
Board Of Medicine
License number
M-5118
Date granted
08/15/1986
Date expires
07/02/1991
Class
Board Of Medicine
Status
Canceled
Address
679 Main St. Sweet Home OR 97386
idaholicensing.com
ID 48335230
LAST UPDATED 2024-02-21 14:28:06 UTC
LAST UPDATED 2024-02-21 14:28:06 UTC
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