License holder summary

ALICE PANDORA BLAKE is a Board Of Medicine licensed to practice in Idaho. The address on file for ALICE PANDORA BLAKE is 222 N 2ND ST SUITE 304 BOISE ID 83702. This licensed professional license is current. The license was granted 08/11/1990 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

ALICE PANDORA BLAKE
Board Of Medicine
License number
M-5730
Date granted
08/11/1990
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
222 N 2ND ST SUITE 304 BOISE ID 83702
idaholicensing.com
ID 48335231
LAST UPDATED 2024-03-10 01:53:45 UTC

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