Idaho
Division of Occupational and Professional Licenses
ALLISON BLACKSMITH HENRIE
Board Of Medicine
License number
D-305
Date granted
01/19/1999
Date expires
06/30/2006
Class
Board Of Medicine
Status
Canceled
Address
220 W RAPP RD UNIT 13 TALENT OR 97540
idaholicensing.com
ID 48354180
LAST UPDATED 2024-04-24 23:19:37 UTC
LAST UPDATED 2024-04-24 23:19:37 UTC
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